Organization
JACOB KALO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KALO M.D. (OWNER)
(248) 932-1777
Entity
Organization
Contact information
Practice address
6765 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-3422
(248) 932-1777
(248) 932-1888
Mailing address
6765 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-3422
(248) 932-1777
(248) 932-1888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
JK040053
MI
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7630015
BLUE CROSS PROVIDER ID
MI
Enumeration date
06/21/2007
Last updated
11/02/2022
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