Organization
AUBURN ADULT FOOT CARE, P C
Active
Other names
Madison Podiatry Associates, P C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE JACOB D.P.M. (PRESIDENT)
(248) 739-0159
Entity
Organization
Contact information
Practice address
4319 FOXPOINTE DR, WEST BLOOMFIELD, MI 48323-2615
(248) 757-0030
(248) 757-0025
Mailing address
6689 ORCHARD LAKE ROAD # 302, WEST BLOOMFIELD, MI 48322
(248) 757-0030
(248) 757-0025
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901000789
MI
Other
Enumeration date
02/26/2007
Last updated
08/24/2015
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