Margaret Rose Jacoby

NPI #1629323282 in Fox Point, Wisconsin

Provider Information

NPI Number: 1629323282
Entity Type: Individual
Name: Margaret Rose Jacoby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 19, 2012
Last Updated: Jul 19, 2012

Practice Location

Address: 8003 N PORT WASHINGTON RD
City: Fox Point
State: Wisconsin
ZIP Code: 53217-2647
Phone: (414) 228-6444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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