JOHN CHARLES PICK-JACOBS

KENOSHA, WI
NPI1255607057
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: WI  61756-21)
Enumeration Date2012-03-26
Last Update Date2018-09-17
Business Address
Dr. JOHN CHARLES PICK-JACOBS D.O.
7401 104TH AVE STE 110
KENOSHA, WI 53142
Phone number: 262-764-5595
Mailing Address
Dr. JOHN CHARLES PICK-JACOBS D.O.
7401 104TH AVE STE 110
KENOSHA, WI 53142-7845
Phone number: 262-764-5595