JACOB J. DEMELLE

GREEN BAY, WI
NPI1558522664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  2269)
Enumeration Date2008-06-20
Last Update Date2022-10-11
Business Address
JACOB J. DEMELLE PA-C
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
Mailing Address
JACOB J. DEMELLE PA-C
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700