JOSEPH MICHAEL PORCIUNCULA JACOB

GRAND RAPIDS, MI
NPI1184911034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301098513)
Enumeration Date2011-06-29
Last Update Date2021-02-17
Business Address
Dr. JOSEPH MICHAEL PORCIUNCULA JACOB MD
100 MICHIGAN ST NE A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
Mailing Address
Dr. JOSEPH MICHAEL PORCIUNCULA JACOB MD
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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