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Individual

STEVEN R JACOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2518 SUPERIOR DR NW STE 104, ROCHESTER, MN 55901-1997
(507) 398-1900
(507) 722-2611
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
43676
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020050087
RAILROAD MEDICARE
MN
05
35351400
WI
05
699480600
MN
05
ENROLLED
IA
Enumeration date
02/13/2006
Last updated
11/14/2018
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