SAMUEL JACOB

MUNCIE, IN
NPI1992931414
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IN  01079242A)
Additional Taxonomies208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: FL  ME131137)
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MO  2018005840)
Enumeration Date2009-06-10
Last Update Date2023-11-15
Business Address
SAMUEL JACOB MD
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303-3432
Phone number: 765-747-3883
Mailing Address
SAMUEL JACOB MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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