Individual
DR. MICHAELA HANEY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4545 ALAMEDA BLVD NE, SUITE G, ALBUQUERQUE, NM 87113-1591
(505) 896-2900
(505) 938-4198
Mailing address
4545 ALAMEDA BLVD NE, SUITE G, ALBUQUERQUE, NM 87113-1591
(505) 896-2900
(505) 938-4198
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD20130154
NM
207ZD0900X
Dermatopathology (Pathology) Physician
MD2013-0154
NM
Other
Enumeration date
05/22/2009
Last updated
05/12/2015
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