Search › Michigan › 111N00000X
Jacob Mavis, DC
NPI 1689460354 · on the registry since 2025
Practice
- Address
- 2550 Niles Rd
Saint Joseph, MI 49085 - Phone
- (269) 429-5727
- Organisation at this address
- Sutinderpal Judge M.D., Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-17
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