Richard Jacobs, PT

NPI 1851544290 · on the registry since 2008

Practice

Address: 710 S Kenwood Ave
Moose Lake, MN 55767
Phone: (218) 485-5634
Organisation at this address: Urology Associates, Ltd
Augustana Mercy Care Center Llc
Augustana Mercy Care Center Llc
Moose Lake Community Hospital District
Moose Lake Community Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-10-29

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 Minnesota