Jemellee Perpetua Jacala-Tadian, M.D. Valid NPI

Individual provider · Family Medicine Physician · Vicksburg, MI

NPI

1669681748

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

4301088607 (MI)

Sex

Female

Sole proprietor

No

Enumerated

2007-05-22

Last updated

2024-10-01