Individual
JACOB BLAINE FLEECS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3610 RICHMOND CIR STE 100, GRAND ISLAND, NE 68803-3910
(308) 398-6400
(308) 398-6408
Mailing address
PO BOX 1725, GRAND ISLAND, NE 68802-1725
(308) 398-6400
(308) 398-6408
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81598
WI
Other
Enumeration date
04/02/2018
Last updated
05/08/2024
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