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

MARYCONI M JACOB, MD

Active

MARYCONI M JACOB, MD is a Gastroenterology healthcare provider located in TROY, Michigan. NPI 1548558588 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · TROY, MI

Registration Details

NPI Number
1548558588
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2011 (15.118586024853 yrs)
Last Updated
Jul 15, 2022
Licenses
4301098130 (MI)
4301098130 (MI)

Practice Information

Address
264 W MAPLE RD STE 200
TROY, MI, 48084
Browse MI providers · Browse ZIP 48084
Phone
2482739930
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in TROY, MI

Name Credential NPI
ATULKUMAR S PATEL MD 1770572356
DR. MICHAEL E CANNON MD 1184613879
THOMAS J ALEXANDER MD 1215926902
MICHAEL C DUFFY MD 1982693677
DR. DARIUSZ A LAZARCZYK MD 1083603500
DR. GREGORY W KULESZA MD 1053300509
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.