Dr. Mark Edward Jacobson
Orthopaedic Surgeon Orthopaedic Spine Surgeon
30575 Woodward Ave Ste 100
Royal Oak
, Michigan 48073-0986
Dr. Mark Edward Jacobson
Orthopaedic Surgeon Orthopaedic Spine Surgeon
30575 Woodward Ave Ste 100
Royal Oak
, Michigan 48073-0986
(248) 280-8571
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mark Edward Jacobson
- 30575 Woodward Ave Ste 100
- Royal Oak, MI
- Zip : 48073-0986
- Fax : (248) 280-8571
- Phone : (248) 280-8550
Second Address
- Dr. Mark Edward Jacobson
- 30575 Woodward Ave Ste 100
- Royal Oak, MI
- Zip : 48073-0986
- Fax : (248) 280-8571
- Phone : (248) 280-8550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 57.014767 | OH |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 4301105117 | MI |
National Provider Identifier
| NPI | 1053561449 |
|---|---|
| Provider Name | Dr. Mark Edward Jacobson |
| First Address | Royal Oak, MI 48073-0986 |
| Second Address | Royal Oak, MI 48073-0986 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2008 |
| Last Update Date | 08/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.