Individual
F STIG JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 290-8707
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27466
WI
208000000X
Pediatrics Physician
27466
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30738400
—
WI
Enumeration date
09/26/2006
Last updated
11/07/2012
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