Diane M Jacobi, OD
Optometrist in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1922152883
StatusActive
Last updated in NPPESAug 9, 2013
Details
- NPI
- 1922152883
- Entity type
- Individual (NPI-1)
- Name
- Diane M Jacobi
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Aug 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901003255 | MI | Yes |
Practice location
1974 North Huron River DriveYpsilanti, MI 48197
Phone 734-615-0788
Mailing address
3621 S State St700 Kms Place
Ann Arbor, MI 48108
Phone 734-936-2047
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