JACOB EDWARD ROBERTS

LIVONIA, MI
NPI1831218817
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: MI  5101015635)
Enumeration Date2007-03-28
Last Update Date2009-10-01
Business Address
-- JACOB EDWARD ROBERTS D.O
14555 LEVAN RD MARION PROFESSIONAL BUILDING SUITE 311
LIVONIA, MI 48154-5083
Phone number: 734-655-2692
Mailing Address
-- JACOB EDWARD ROBERTS D.O
7932 GOSHEN DR
WEST BLOOMFIELD, MI 48322-5002
Phone number: 248-417-7730