Joseph Jacob

NPI 1063916344 · on the registry since 2018

Practice

Address: 900 Cook Rd
Grosse Pointe Woods, MI 48236
Phone: (313) 885-5005
Organisation at this address: Ccla 6 Llc
Childrens'S Home Of Detroit
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Additional practice sites

The Rivers Of Grosse Pointe, Grosse Pointe Woods, MI

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-03-21

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