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1710066881
BRUCE MICHAEL JACOB
WEST BLOOMFIELD, MI
NPI
1710066881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: MI 5901000789)
Enumeration Date
2006-11-02
Last Update Date
2018-11-06
Business Address
Dr. BRUCE MICHAEL JACOB D.P.M.
6689 ORCHARD LAKE RD # 302
WEST BLOOMFIELD, MI 48322-3404
Phone number: 248-757-0030
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Mailing Address
Dr. BRUCE MICHAEL JACOB D.P.M.
6689 ORCHARD LAKE RD # 302
WEST BLOOMFIELD, MI 48322-3404
Phone number: 248-757-0030
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