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

DR. JACOB COOPER DEWEERTH, M.D.

Active

DR. JACOB COOPER DEWEERTH, M.D. is a Vascular Surgery healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1306265582 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · MINNEAPOLIS, MN

Registration Details

NPI Number
1306265582
Provider Type
Individual
Gender
Male
NPI Issued
Apr 15, 2014 (12.342112953424 yrs)
Last Updated
Feb 5, 2025
Licenses
65497 (MN)
65497 (MN)
65497 (MN)

Practice Information

Address
2450 RIVERSIDE AVE
MINNEAPOLIS, MN, 554541450
Browse MN providers · Browse ZIP 55454
Phone
6126726000
Primary Specialty
Vascular Surgery
208VP0000X
Additional Specialty
Vascular Surgery

Other Vascular Surgery Providers in MINNEAPOLIS, MN

Name Credential NPI
CHRISTINA MARIE WIEKAMP ACNS-BC, CNP 1356615322
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.