Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB TAIT DEMASTER, D.O.
ActiveDR. JACOB TAIT DEMASTER, D.O. is a Family Medicine healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1215373147 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHEBOYGAN, WI
Registration Details
- NPI Number
- 1215373147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2013 (13.212566283922 yrs)
- Last Updated
- Nov 30, 2021
- License
-
5101020370 (MI)
Practice Information
- Address
-
1813 ASHLAND AVESHEBOYGAN, WI, 530816125Browse WI providers · Browse ZIP 53081
- Phone
- 9204584010
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SHEBOYGAN, WI
| Name | Credential | NPI |
|---|---|---|
| DR. CLIFTON MAC GREGOR WOODFORD | M.D. | 1528041787 |
| DR. PATRICK R MARSHO | MD | 1174589998 |
| DR. DEAN A MANCHESKI | M.D. | 1669438438 |
| DR. LARRY L DUENK | M.D. | 1649236985 |
| DR. WARREN A BRAUER | M.D. | 1871559112 |
| DR. JAMES R PAWLAK | M.D. | 1083670244 |
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.