JACOB MICHELSEN

CALDWELL, ID
NPI1841803533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
Enumeration Date2020-08-24
Last Update Date2020-08-24
Business Address
JACOB MICHELSEN PA
2005 ARLINGTON AVE
CALDWELL, ID 83605-4808
Phone number: 208-459-1025
Mailing Address
JACOB MICHELSEN PA
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149
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