MR. Jacob M. Fraker, P.A.
NPI #1770565723 in South Bend, Indiana
Provider Information
- NPI Number
- 1770565723
- Entity Type
- Individual
- Name
- MR. Jacob M. Fraker, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Nov 16, 2005
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 53880 CARMICHAEL DR
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46635-1567
- Phone
- (574) 247-9441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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