Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE MICHAEL JACOB, D.P.M.
ActiveDR. BRUCE MICHAEL JACOB, D.P.M. is a Radiology Podiatrist healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1710066881 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · WEST BLOOMFIELD, MI
Registration Details
- NPI Number
- 1710066881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2006 (19.770770048654 yrs)
- Last Updated
- Nov 25, 2024
- License
-
5901000789 (MI)
Practice Information
- Address
-
6689 ORCHARD LAKE RD # 302WEST BLOOMFIELD, MI, 483223404Browse MI providers · Browse ZIP 48322
- Phone
- 2487570030
- Fax
- 2487570025
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Other Radiology Podiatrist Providers in WEST BLOOMFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. KRISTI SCHONS | D.P.M. | 1598765141 |
| DR. MITCHELL S WAYNE | DPM | 1437121746 |
| DR. HOWARD GOLDFADEN | DPM | 1508955642 |
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.