Jacob Michelsen, PA

NPI #1841803533 in Caldwell, Idaho

Provider Information

NPI Number
1841803533
Entity Type
Individual
Name
Jacob Michelsen, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Aug 24, 2020
Last Updated
Aug 24, 2020

Practice Location

Address
2005 ARLINGTON AVE
State
Idaho
ZIP Code
83605-4808
Phone
(208) 459-1025

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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