Individual
JACOB THEODORE HORSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7266
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4351051289
MI
Other
Enumeration date
06/17/2021
Last updated
06/08/2023
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