Search › Michigan › 207R00000X
Edmund Jacob, M.D
NPI 1932423696 · on the registry since 2010
Practice
- Address
- 2799 W Grand Blvd # 417
Division Of Hospital Medicine
Detroit, MI 48202 - Phone
- (313) 916-8144
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-29
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