Individual provider · Type 1 NPI

Doris A. Jacobs, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1679795355 Active

Practice location

235 Wealthy St SE
Grand Rapids, MI 49503-5247

Fax (616) 840-9637

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XDJ004588 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1679795355

Doris A. Jacobs, PA-C's National Provider Identifier is 1679795355, issued on May 3, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 11, 2017.