Individual
MICHAEL JAKUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(586) 849-3485
Mailing address
PO BOX 100, ROYAL OAK, MI 48068-0100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704282747
MI
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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