DR. Jacob Thomas Johengen, DO

NPI #1154945558 in Milan, Michigan

Provider Information

NPI Number: 1154945558
Entity Type: Individual
Name: DR. Jacob Thomas Johengen, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 1, 2020
Last Updated: Jun 23, 2023

Practice Location

Address: 870 E ARKONA RD STE 100
City: Milan
State: Michigan
ZIP Code: 48160-9770
Phone: (734) 439-2429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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