Individual
KRISTIN M. JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8501 MEADOW CRK, ROCKFORD, MI 49341-7524
(616) 267-7884
Mailing address
100 MICHIGAN STREET NE MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301100726
MI
Other
Enumeration date
06/20/2012
Last updated
02/17/2021
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