Individual
MS. MEGHAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9090 S RODGERS CT SE STE A, CALEDONIA, MI 49316-8052
(616) 891-0422
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012381
MI
Other
Enumeration date
02/02/2007
Last updated
08/06/2024
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