Individual
DR. ELIZABETH JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 WEST WISCONSIN, FROEDTERT & MED COLLEGE CLIN - EAST, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
30127
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31541800
—
WI
Enumeration date
05/15/2006
Last updated
07/08/2007
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