Individual
SEVERT H JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-6000
(701) 323-5709
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
3822
ND
207T00000X
Neurological Surgery Physician
Primary
3822
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17365
—
ND
Enumeration date
07/16/2007
Last updated
07/23/2007
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