institution
Thomas E. Jacob, D.p.m., P.c.
Foot & Ankle Surgery Podiatrist in Eastpointe, Michigan
NPI 1659369031

Thomas E. Jacob, D.p.m., P.c. is a Foot & Ankle Surgery Podiatrist based in Eastpointe, MI and is specialized in Foot & Ankle Surgery. Thomas E. Jacob, D.p.m., P.c. practices in Eastpointe, MI. The NPI Number for Thomas E. Jacob, D.p.m., P.c. is 1659369031 and holds a License No. 59010000499 (Michigan).

The current practice location address for Thomas E. Jacob, D.p.m., P.c. is 23700 Gratiot Ave, Eastpointe, MI and can be reached out via phone at 586-779-1160 and via fax at 586-779-1163.

Location: 23700 Gratiot Ave, Eastpointe, MI, 48021-1647
institution
Provider Profile Details
NPI Number
1659369031
Provider Name
Thomas E. Jacob, D.p.m., P.c.
Credential
Provider Entity Type
Organization
Address
23700 Gratiot Ave, Eastpointe, MI, 48021-1647
Phone Number
586-779-1160
Fax Number
586-779-1163
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000002745 01 MI CAPE HEALTH PLAN
1014915-0001 01 MI WELLNESS PLAN
121471 01 MI CARE CHOICE HMO
0737520001 01 MI DME MEDICARE
101301 01 MI GREAT LAKES HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
23700 Gratiot Ave
City
State
Zip
48021-1647
Phone Number
586-779-1160
Fax Number
586-779-1163
person
Provider Business Mailing Address Details
Address
23700 Gratiot Ave
City
State
Zip
48021-1647
Phone Number
586-779-1160
Fax Number
586-779-1163
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
59010000499 (Michigan)
Definition
Definition to come...
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