Individual
JACOB SZYMANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11552 E 12 MILE RD, WARREN, MI 48093-2644
(586) 573-7500
Mailing address
11552 E 12 MILE RD, WARREN, MI 48093-2644
(586) 573-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901021959
—
MI
Enumeration date
06/19/2016
Last updated
06/19/2016
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