DR. Michael Jack, D.P.M.

NPI #1780080812 in Kent, Ohio

Provider Information

NPI Number: 1780080812
Entity Type: Individual
Name: DR. Michael Jack, D.P.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Nov 18, 2014
Last Updated: Aug 20, 2020

Practice Location

Address: 1930 STATE ROUTE 59
City: Kent
State: Ohio
ZIP Code: 44240-4112
Phone: (330) 673-3505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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