Individual
JACOB ZACHARY BABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
1150 ATLANTIC ST, MILFORD, MI 48381-7034
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5151015527
MI
Other
Enumeration date
05/04/2022
Last updated
03/10/2023
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