Jacob Jon Desantis

NPI #1952878415 in Rice Lake, Wisconsin

Provider Information

NPI Number
1952878415
Entity Type
Individual
Name
Jacob Jon Desantis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Enumeration Date
Nov 1, 2018
Last Updated
Nov 27, 2018

Practice Location

Address
1801 W KNAPP ST STE 1
ZIP Code
54868-1381
Phone
(715) 234-3067

Specialties & Taxonomy Codes

Specialty
Chiropractor

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