Kevin E Jacobson, OD

NPI #1306850961 in Rice Lake, Wisconsin

Provider Information

NPI Number
1306850961
Entity Type
Individual
Name
Kevin E Jacobson, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jul 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1801 W KNAPP ST
Address 2
STE 3
ZIP Code
54868
Phone
(715) 234-3113

Specialties & Taxonomy Codes

Specialty
Optometrist

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