Search › Michigan › 2086S0129X
Jacob Johnson, DO
NPI 1962760124 · on the registry since 2012 · sole proprietor
Practice
- Address
- 15411 Park Village Blvd
Taylor, MI 48180 - Phone
- (646) 714-1984
Registry record
- Primary taxonomy
- 2086S0129X
2086S0129X
- Also registered as
- 208600000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-21
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