Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob L Conroy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801477922

Jacob L Conroy is a Student in an Organized Health Care Education/Training Program in Royal Oak, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Cold Spring Rd, Indianapolis, IN 46222-1960 — (124) 839-0287

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 5151015440 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801477922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

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