DR. Dale Gary Jacobson, MD

NPI #1346357860 in Walworth, Wisconsin

Provider Information

NPI Number: 1346357860
Entity Type: Individual
Name: DR. Dale Gary Jacobson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 23, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 525 KENOSHA ST
Address 2: #A
City: Walworth
State: Wisconsin
ZIP Code: 53184
Phone: (262) 275-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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