Individual
ELIZABETH THERESE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Mailing address
27191 W 14 MILE ROAD, FRANKLIN, MI 48025
(248) 790-1352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.142257
OH
207P00000X
Emergency Medicine Physician
Primary
4301117129
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2016
Last updated
03/03/2023
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