| Doctor Name: | DR. JACALYN MEREDITH BISHOP |
| NPI Number: | 1063579415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 4301077893 |
| Business Practice Address: | 44000 W 12 Mile Rd Suite 103 Novi, MI - 483772644 |
| Business Phone Number: | 2483473344 |
| Business Fax Number: | 2483056845 |
| Mailing Address: | 44000 W 12 Mile Rd, Suite 103 NOVI |
| State: | MI |
| Postal Code: | 483772644 |
| Phone Number: | 2483473344 |
| Fax Number: | 2483056845 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 12/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0205X |
| License Number: | 4301077893 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Endocrinology |
| Taxonomy Definition: | A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |