Individual
DANIELLE MARIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1560 E SHERMAN BLVD STE 240, MUSKEGON, MI 49444-1854
(231) 672-3883
(231) 672-3973
Mailing address
1355 SPRINGHOUSE DR NE, GRAND RAPIDS, MI 49525-3431
(616) 450-8511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
02/23/2024
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