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Individual

GRETCHEN MARIE JAKUBIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
15474 HAGGERTY RD, NORTHVILLE, MI 48170-4890
(734) 335-6103
(734) 404-5317
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 654-4253

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704215872
MI

Other

Enumeration date
05/17/2011
Last updated
11/23/2016
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