person
Dr. Bruce Michael Jacob, DPM
Primary Podiatric Medicine Podiatrist in West Bloomfield, Michigan
NPI 1710066881

Bruce Michael Jacob is a Primary Podiatric Medicine Podiatrist based in West Bloomfield, MI and is specialized in Primary Podiatric Medicine. Bruce Michael Jacob practices in West Bloomfield, MI and has the professional credentials of DPM. The NPI Number for Bruce Michael Jacob is 1710066881 and holds a License No. 5901000789 (Michigan).

The current practice location address for Bruce Michael Jacob is 6689 Orchard Lake Rd # 302, West Bloomfield, MI and can be reached out via phone at 248-757-0030 and via fax at 248-757-0025.

Location: 6689 Orchard Lake Rd # 302, West Bloomfield, MI, 48322-3404
person
Provider Profile Details
NPI Number
1710066881
Provider Name
Bruce Michael Jacob
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6689 Orchard Lake Rd # 302, West Bloomfield, MI, 48322-3404
Phone Number
248-757-0030
Fax Number
248-757-0025
Provider Enumeration Date
11/02/2006
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
6689 Orchard Lake Rd # 302
City
State
Zip
48322-3404
Phone Number
248-757-0030
Fax Number
248-757-0025
person
Provider Business Mailing Address Details
Address
6689 Orchard Lake Rd # 302
City
State
Zip
48322-3404
Phone Number
248-757-0030
Fax Number
248-757-0025
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
5901000789 (Michigan)
Definition
Definition to come...
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