Individual
JACOB E PERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
818 W KING ST STE 101, OWOSSO, MI 48867-2117
(989) 725-8171
(989) 723-1257
Mailing address
818 W KING ST STE 101, OWOSSO, MI 48867-2117
(989) 725-8171
(989) 723-1257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010447
MI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649860776
—
MI
Enumeration date
01/22/2021
Last updated
06/20/2022
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