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Steven Jacobson

NPI 1477951143 · on the registry since 2014

Practice

Address
113 4th Ave.
Shell Lake, WI 54871
Phone
(715) 468-7833
Fax
(715) 468-7839
Organisation at this address
Shell Lake Pharmacy Ltd
Shell Lake Pharmacy Ltd
Indianhead Medical Center Shell Lake Inc
Indianhead Medical Center Shell Lake Inc
Indianhead Medical Center Shell Lake, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
227900000X
227900000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-12

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