Individual
JACOB LEIBIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
3500 S RIVER GLEN LN APT 7, GREENFIELD, WI 53228-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7001-23
WI
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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