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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THRESIAMMA JACOB, M.D.

Active Sole Proprietor

THRESIAMMA JACOB, M.D. is a Psychiatry healthcare provider located in ADRIAN, Michigan. NPI 1518055151 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · ADRIAN, MI

Registration Details

NPI Number
1518055151
Provider Type
Individual
Gender
Female
NPI Issued
Oct 10, 2006 (19.878721783361 yrs)
Last Updated
Jul 8, 2007
License
TJ048425 (MI)
Sole Proprietor
Yes

Practice Information

Address
142 E MAUMEE ST
ADRIAN, MI, 492212735
Browse MI providers · Browse ZIP 49221
Phone
5172635810
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in ADRIAN, MI

Name Credential NPI
DR. THEETHAYE LONAPPAN ITTIARA M.D 1174585475
MANISH PRASAD M.D. 1558395947
LUVEN MARIE SEQUERRA TEJERO MD 1659421915
ROBERT SHAW CNP 1962240184
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.