Individual provider · Type 1 NPI

Callie Jacobson, DPM

Student in an Organized Health Care Education/Training Program · Livonia, MI

NPI number 1386583698 Active

Practice location

36475 Five Mile Rd
Livonia, MI 48154-1971

Call (734) 655-4800 Map

Mailing address

295 W Eddy Rd
Sandusky, MI 48471-8735

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386583698

Callie Jacobson, DPM's National Provider Identifier is 1386583698, issued on Mar 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Livonia, MI. The record was last updated on Mar 25, 2026.