Individual
JACOB URLAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5281 CLYDE PARK AVE SW, GRAND RAPIDS, MI 49509-9506
(616) 914-2628
Mailing address
5281 CLYDE PARK AVE SW, GRAND RAPIDS, MI 49509-9506
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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