Individual
DR. JACOB JOSEPH DIRKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(800) 283-2881
Mailing address
1834 JUDY DR, KRONENWETTER, WI 54455-8812
(715) 370-1063
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
81413-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2021
Last updated
02/28/2024
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