Individual
JACOB C MESITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2673
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2673
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5151014844
MI
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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