MR. Jacob R. Dinauer, MED, ATC, EMT

NPI #1699737288 in Kenosha, Wisconsin

Provider Information

NPI Number: 1699737288
Entity Type: Individual
Name: MR. Jacob R. Dinauer, MED, ATC, EMT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Emergency Medical Technician, Intermediate
Credential: MED, ATC, EMT
Enumeration Date: Apr 6, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 2001 ALFORD PARK DR
Address 2: TARC 1150
City: Kenosha
State: Wisconsin
ZIP Code: 53140-1929
Phone: (262) 551-6107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Intermediate	146M00000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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