MARYCONI M JACOB

TROY, MI
NPI1548558588
Former NameMARYCONI JAURIGUE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: MI  4301098130)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  4301098130)
Enumeration Date2011-07-12
Last Update Date2022-07-15
Business Address
MARYCONI M JACOB MD
264 W MAPLE RD STE 200
TROY, MI 48084
Phone number: 248-273-9930
Mailing Address
MARYCONI M JACOB MD
264 W MAPLE RD STE 200
TROY, MI 48084-5458
Phone number: 248-273-9930