Individual
MAUD JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR TAUBMAN CTR RECP B1, ANN ARBOR, MI 48109
(734) 763-9142
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301090155
MI
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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