Individual
DR. JACOB MICHAEL JASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 569-7745
(248) 569-4539
Mailing address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 569-7745
(248) 569-4539
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
5101023355
MI
207T00000X
Neurological Surgery Physician
Primary
5101027587
MI
207T00000X
Neurological Surgery Physician
OS023856
PA
Other
Enumeration date
06/26/2017
Last updated
09/06/2025
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