Individual
JESSICA V MISICH-JABIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19251 MACK AVE STE 333, GROSSE POINTE WOODS, MI 48236-2898
(313) 343-7774
Mailing address
19251 MACK AVE STE 333, GROSSE POINTE WOODS, MI 48236-2898
(313) 343-7280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301504088
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301115012
MI
Other
Enumeration date
05/14/2018
Last updated
02/05/2024
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