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Mark Jakubek
NPI 1003829649 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1725 State St
La Crosse, WI 54601 - Phone
- (920) 642-0201
- Organisation at this address
- University Of Wisconsin - La Crosse
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin