Individual
JACOB HAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3297
Mailing address
21501 GREGORY ST, DEARBORN, MI 48124-3005
(313) 909-0307
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5951000953
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/09/2018
Last updated
02/18/2019
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