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

DR. DALE GARY JACOBSON, MD

Active

DR. DALE GARY JACOBSON, MD is a Family Medicine healthcare provider located in WALWORTH, Wisconsin. NPI 1346357860 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WALWORTH, WI

Registration Details

NPI Number
1346357860
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2006 (19.979763873671 yrs)
Last Updated
Mar 7, 2023
License
23975 (WI)

Practice Information

Address
525 KENOSHA ST
#A
WALWORTH, WI, 53184
Browse WI providers · Browse ZIP 53184
Phone
2622752101
Fax
2622750752
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WALWORTH, WI

Name Credential NPI
DR. STEPHEN ANDREW COLE M.D. 1053415570
DR. NATHAN C GILLING D.O. 1477991602
DR. LINDSEY E TUNTLAND MD 1750919510
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.