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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB A TESTER

Active

JACOB A TESTER is a Contractor healthcare provider located in MANKATO, Minnesota. NPI 1164126603 is currently active in the NPPES registry. Verify at CMS.

Contractor · MANKATO, MN

Registration Details

NPI Number
1164126603
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2023 (3.4003724971987 yrs)
Last Updated
Mar 29, 2023
License
BC774678 (MN)

Practice Information

Address
500 BROOKS ST
MANKATO, MN, 560012839
Browse MN providers · Browse ZIP 56001
Phone
5077208516
Primary Specialty
Contractor
171W00000X
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.