Mark D. Jakubek

NPI #1003829649 in La Crosse, Wisconsin

Provider Information

NPI Number: 1003829649
Entity Type: Individual
Name: Mark D. Jakubek
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1725 STATE ST
City: La Crosse
State: Wisconsin
ZIP Code: 54601-3742
Phone: (920) 642-0201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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