person
Jaisy Jacob
Diagnostic Radiology Physician in Detroit, Michigan
NPI 1639468614

Jaisy Jacob is a Diagnostic Radiology Physician based in Detroit, MI and is specialized in Diagnostic Radiology. Jaisy Jacob practices in Detroit, MI. The NPI Number for Jaisy Jacob is 1639468614 and holds a License No. 4301107800 (Michigan).

The current practice location address for Jaisy Jacob is 4100 John R St, Detroit, MI and can be reached out via phone at 313-576-9900.

Location: 4100 John R St, Detroit, MI, 48201-2013
person
Provider Profile Details
NPI Number
1639468614
Provider Name
Jaisy Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
4100 John R St, Detroit, MI, 48201-2013
Phone Number
313-576-9900
Fax Number
Provider Enumeration Date
03/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4100 John R St
City
State
Zip
48201-2013
Phone Number
313-576-9900
Fax Number
person
Provider Business Mailing Address Details
Address
4100 John R St
City
State
Zip
48201-2013
Phone Number
313-576-9900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
4301107800 (Michigan)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4301107800 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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