Individual
JACOB MICHAEL DEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(856) 776-9174
Mailing address
6921 LITTLE BROOK CT, ELKRIDGE, MD 21075-6242
(856) 776-9174
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101278707
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2021
Last updated
08/11/2023
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