DR. Jake S Vacarella, MD

NPI #1104986777 in Lake Geneva, Wisconsin

Provider Information

NPI Number: 1104986777
Entity Type: Individual
Name: DR. Jake S Vacarella, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: N2950 STATE ROAD 67
City: Lake Geneva
State: Wisconsin
ZIP Code: 53147-2655
Phone: (262) 245-0535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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