Jacob Timothy Mach, PA

NPI #1124487038 in Alexandria, Minnesota

Provider Information

NPI Number: 1124487038
Entity Type: Individual
Name: Jacob Timothy Mach, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 19, 2016
Last Updated: Mar 17, 2018

Practice Location

Address: 1527 BROADWAY ST
City: Alexandria
State: Minnesota
ZIP Code: 56308-2537
Phone: (320) 762-0399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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