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JAISY JACOB

Diagnostic Radiology Physician

NPI: 1639468614IndividualAccepts Medicare

Specialties, Licenses & Credentials

Body Imaging Physician

Radiology — Body Imaging

Code: 2085B0100X

4301107800(MI)
Diagnostic Radiology PhysicianPrimary

Radiology — Diagnostic Radiology

Code: 2085R0202X

4301107800(MI)

CMS Specialties

Education

OTHER

Class of 2011

Contact & Hours

Via practice · 2 locations total

Address
4100 JOHN R ST
DETROIT, MI 48201

Quick Facts

NPI
1639468614
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
15

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