DIANA R JACOBS

MEQUON, WI
NPI1386745487
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  27996)
Enumeration Date2006-09-25
Last Update Date2022-07-21
Business Address
Dr. DIANA R JACOBS DO
13111 N PORT WASHINGTON RD
MEQUON, WI 53097-2416
Phone number: 262-243-6548
Mailing Address
Dr. DIANA R JACOBS DO
4425 N PORT WASHINGTON RD ATTN: CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-963-7100
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