Individual
JACOB WAYNE DAILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 PLAZA DR, PETOSKEY, MI 49770-9420
(231) 347-7840
Mailing address
1420 PLAZA DR, PETOSKEY, MI 49770-9420
(231) 347-7890
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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