Individual
JACOB MONESTERSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026488
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151014438
MI
Other
Enumeration date
06/05/2020
Last updated
08/11/2023
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