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Lisa Jacobson D.o., P.c.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Cadillac, Michigan
NPI 1831333715

Lisa Jacobson D.o., P.c. is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Cadillac, MI and is specialized in Plastic Surgery within the Head & Neck. Lisa Jacobson D.o., P.c. practices in Cadillac, MI. The NPI Number for Lisa Jacobson D.o., P.c. is 1831333715 and holds a License No. 5101013549 (Michigan).

The current practice location address for Lisa Jacobson D.o., P.c. is 8872 Professional Dr, Cadillac, MI and can be reached out via phone at 231-779-6260 and via fax at 231-779-6264.

Location: 8872 Professional Dr, Cadillac, MI, 49601-8481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831333715
Provider Name
Lisa Jacobson D.o., P.c.
Credential
Provider Entity Type
Organization
Address
8872 Professional Dr, Cadillac, MI, 49601-8481
Phone Number
231-779-6260
Fax Number
231-779-6264
Provider Enumeration Date
04/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4420424 05 MI
institution
Provider Business Practice Location Address Details
Address
8872 Professional Dr
City
Cadillac
State
Michigan
Zip
49601-8481
Phone Number
231-779-6260
Fax Number
231-779-6264
person
Provider Business Mailing Address Details
Address
8872 Professional Dr
City
Cadillac
State
Michigan
Zip
49601-8481
Phone Number
231-779-6260
Fax Number
231-779-6264
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
5101013549 (Michigan)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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