THRESIAMMA JACOB

ADRIAN, MI
NPI1518055151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  TJ048425)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
-- THRESIAMMA JACOB M.D.
142 E MAUMEE ST
ADRIAN, MI 49221-2735
Phone number: 517-263-5810
Mailing Address
-- THRESIAMMA JACOB M.D.
2757 BYRNWYCK W
MAUMEE, OH 43537-9720
Phone number: 419-865-2523