Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK D. JAKUBEK
Active Sole ProprietorSpecialist · LA CROSSE, WI
Registration Details
- NPI Number
- 1003829649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (19.70602559436 yrs)
- Last Updated
- Jul 8, 2007
- License
-
761-039 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1725 STATE STLA CROSSE, WI, 546013742Browse WI providers · Browse ZIP 54601
- Phone
- 9206420201
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LA CROSSE, WI
| Name | Credential | NPI |
|---|---|---|
| MS. JADE MOSETI | COTA | 1457666174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.