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1710554274
JACOB WILLIAM FISHBAUGH
TRAVERSE CITY, MI
NPI
1710554274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 10434)
Enumeration Date
2021-06-04
Last Update Date
2023-07-10
Business Address
JACOB WILLIAM FISHBAUGH PA-C
3537 W FRONT ST STE A
TRAVERSE CITY, MI 49684-7942
Phone number: 231-935-0338
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Mailing Address
JACOB WILLIAM FISHBAUGH PA-C
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2386
Phone number: 231-392-0773
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