Individual provider · Type 1 NPI
Angela Renee Jacob, D.P.M.
Foot & Ankle Surgery Podiatrist · West Bloomfield, MI
NPI number
1124430806
Active
Practice location
6900 Orchard Lake Rd Ste 207
West Bloomfield, MI 48322-3425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5315080074 (MI) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 5901002584 (MI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1124430806
Angela Renee Jacob, D.P.M.'s National Provider Identifier is 1124430806, issued on May 29, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in West Bloomfield, MI. The record was last updated on Jun 15, 2022.