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

Jacob Wasag

Individual provider General Practice Physician · NPI 1134780026

Jacob Wasag is a Family Practice in Chelsea, Michigan. Qualified in 2019, 7 years ago. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

14700 E Old US Highway 12
Chelsea, MI 48118-1185
Phone: (734) 475-1321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4351044517 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 4301506490 (MI)

Record details

NPI number1134780026
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2019
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022
Mailing address14700 E Old Us Highway 12, Chelsea, MI 48118-1185

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Chelsea