Raechel Jacobson
NPI #1679198600 in Evansville, Wisconsin
Provider Information
- NPI Number
- 1679198600
- Entity Type
- Individual
- Name
- Raechel Jacobson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 16, 2020
- Last Updated
- Jun 16, 2020
Practice Location
- Address
- 449 S 1ST ST
- City
- Evansville
- State
- Wisconsin
- ZIP Code
- 53536-1394
- Phone
- (608) 882-4338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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