MICHAEL PESCATORE JACOBSON

MORAINE, OH
NPI1700406477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.006734RX)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-22
Last Update Date2021-04-14
Business Address
MICHAEL PESCATORE JACOBSON PA-C
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 480-993-6384
Mailing Address
MICHAEL PESCATORE JACOBSON PA-C
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 480-993-6384