Amie Michelle Jakubiak D.O.

NPI 1891779385 - Family Medicine - 207Q00000X

NPI Details
NPI 1891779385
Gender Female
Enumeration Date 11/30/2005
Last Updated 03/10/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1025 VERDAE BLVD
SUITE B
GREENVILLE SC, 29607-4032, US
Phone (864) 286-7550
Fax (864) 286-7551
Business Location
1 INDEPENDENCE PT
SUITE 212
GREENVILLE SC, 29615-4545, US
Phone (864) 797-6044
Fax (864) 797-6198
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 5101015339
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According to our database, Amie Michelle Jakubiak D.O. NPI is 1891779385, taxonomy code is 207Q00000X and license number is 5101015339, license state is located at Michigan. Amie Michelle Jakubiak D.O. physically located at 1025 Verdae Blvd, Greenville SC, 29607-4032. NPI Number Amie Michelle Jakubiak D.O. has the Individual type.

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1891779385 NPI number is provided on an as is basis without warranty of any kind. 1891779385 is maintained by the National Plan & Provider Enumeration System. The contents of Amie Michelle Jakubiak D.O. are for informational purposes only.