Jacalyn Meredith Bishop M.D.

NPI 1063579415 - Pediatrics - 2080P0205X

NPI Details
NPI 1063579415
Gender Female
Enumeration Date 01/03/2007
Last Updated 12/13/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
44000 W 12 MILE RD
SUITE 103
NOVI MI, 48377-2644, US
Phone (248) 347-3344
Fax (248) 305-6845
Business Location
44000 W 12 MILE RD
SUITE 103
NOVI MI, 48377-2644, US
Phone (248) 347-3344
Fax (248) 305-6845
Toxanomy
Taxonomy Code 2080P0205X
License State Michigan
License Number 4301077893
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According to our database, Dr. Jacalyn Meredith Bishop M.D. NPI is 1063579415, taxonomy code is 2080P0205X and license number is 4301077893, license state is located at Michigan. Jacalyn Meredith Bishop M.D. physically located at 44000 W 12 Mile Rd, Novi MI, 48377-2644. NPI Number Jacalyn Meredith Bishop M.D. has the Individual type.

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1063579415 NPI number is provided on an as is basis without warranty of any kind. 1063579415 is maintained by the National Plan & Provider Enumeration System. The contents of Jacalyn Meredith Bishop M.D. are for informational purposes only.