LISA ROSELIN JACOB

WEST BLOOMFIELD, MI
NPI1871810879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MI  4301109137)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IL  036138036)
Enumeration Date2010-04-29
Last Update Date2018-07-05
Business Address
LISA ROSELIN JACOB M.D.
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Phone number: 313-205-8581
Mailing Address
LISA ROSELIN JACOB M.D.
6199 WINCLIFF DR
WEST BLOOMFIELD, MI 48322-4800
Phone number: 610-247-1086