Organization
DONALD M. JACOBSON, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN JACOBSON (VICE PRESIDENT)
(262) 930-6522
Entity
Organization
Contact information
Practice address
3701 DURAND AVE STE 325, RACINE, WI 53405-4480
(262) 598-9030
(262) 598-9032
Mailing address
3701 DURAND AVE STE 325, RACINE, WI 53405-4480
(262) 598-9030
(262) 598-9032
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33729
WI
2084P0800X
Psychiatry Physician
Primary
33729
WI
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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