Search › Michigan › 183500000X
Shermie Jacob
NPI 1043841075 · on the registry since 2020 · sole proprietor
Practice
- Address
- 295 S Broadway St
Lake Orion, MI 48362 - Phone
- (248) 814-6521
- Organisation at this address
- Woodward Detroit Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan