Search › Michigan › 207RG0100X
Maryconi Jacob, MD
NPI 1548558588 · on the registry since 2011
Practice
- Address
- 264 W Maple Rd Ste 200
Troy, MI 48084 - Phone
- (248) 273-9930
- Organisation at this address
- Southfield Endoscopy Asc Llc
Gastrointestinal Specialists Pc
Essential Anesthesia Services, PlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 3601 W 13 Mile Rd Ste Ll, Royal Oak, MI
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-15
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