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1700993227
MICHAEL A JACOBS
KENOSHA, WI
NPI
1700993227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1170-023)
Enumeration Date
2006-08-23
Last Update Date
2023-03-07
Business Address
Mr. MICHAEL A JACOBS PA-C
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-5600
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Mailing Address
Mr. MICHAEL A JACOBS PA-C
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-5600
Copy
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