Search › Michigan › 101Y00000X
Jacob Anderson, LLC
NPI 1164198693 · on the registry since 2021
Practice
- Address
- 4439 Butternut St
Clarkston, MI 48348 - Phone
- (248) 690-5286
Additional practice sites
- 7640 Dixie Hwy, Clarkston, MI
- 114 Orchard Lake Rd, Pontiac, MI
- 37500 Garfield Rd Ste 175, Clinton Twp, MI
- 837 S Lapeer Rd Ste 205, Oxford, MI
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101Y00000X
- Licence states on file
- OH, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan