Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANGELA RENEE JACOB, D.P.M.
Active Sole ProprietorDR. ANGELA RENEE JACOB, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1124430806 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · WEST BLOOMFIELD, MI
Registration Details
- NPI Number
- 1124430806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2014 (12.188072404039 yrs)
- Last Updated
- Jun 15, 2022
- Licenses
-
5315080074 (MI)5901002584 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6900 ORCHARD LAKE RD STE 207WEST BLOOMFIELD, MI, 483223425Browse MI providers · Browse ZIP 48322
- Phone
- 2489630919
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in WEST BLOOMFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES J MARKLE | DPM | 1609868876 |
| DR. MARC CHICOREL | — | 1629182357 |
| NEIL HERTZBERG | DPM | 1902932924 |
| HARSHINI AVULA | D.P.M | 1518258896 |
| DR. JERI CHRISTINA BERKOWITZ | D.P.M. | 1598148116 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.