Individual
DR. JACOB KALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
15650 E 8 MILE RD, DETROIT, MI 48205-1444
(313) 526-3600
(313) 526-3603
Mailing address
28477 HOOVER RD, WARREN, MI 48093-5438
(586) 751-7070
(586) 751-7071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301040053
MI
207VX0000X
Obstetrics Physician
Primary
4301040053
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500428
BLUE CROSS ID
MI
05
—
1594887
—
MI
Enumeration date
02/09/2006
Last updated
11/02/2022
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