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Callie Jacobson, DPM

Student in an Organized Health Care Education/Training Program in Livonia, MI. Individual provider (NPI-1).

NPI number1386583698
StatusActive
Last updated in NPPESMar 25, 2026

Details

NPI
1386583698
Entity type
Individual (NPI-1)
Name
Callie Jacobson
Credential
DPM
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2026
Certification date
Mar 25, 2026
Last updated
Mar 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

36475 Five Mile Rd
Livonia, MI 48154-1971

Phone 734-655-4800

Mailing address

295 W Eddy Rd
Sandusky, MI 48471-8735

Phone 810-488-2162

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