Individual
DAVID JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29355 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1053
(248) 356-7726
(248) 356-7749
Mailing address
130 TOWN CENTER DR, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301025033
MI
Other
Enumeration date
07/15/2005
Last updated
10/16/2017
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