Individual
JACOB DISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S ADAMS RD STE 200, BIRMINGHAM, MI 48009-6863
(248) 646-3733
(248) 642-2566
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5166
(734) 743-2138
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301508632
MI
Other
Enumeration date
03/25/2019
Last updated
06/30/2023
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