Individual
JACOB KAMERON LEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3297
(989) 891-8147
Mailing address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3297
(989) 891-8147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026609
MI
Other
Enumeration date
03/10/2017
Last updated
04/15/2022
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