Individual
DR. MONICA ANNE JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 W 9TH AVE, STE 310, OSHKOSH, WI 54904-7247
(920) 223-3550
(920) 223-3552
Mailing address
2700 W 9TH AVE, STE 310, OSHKOSH, WI 54904-7247
(734) 657-9017
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
63665-20
WI
Other
Enumeration date
06/16/2009
Last updated
11/08/2015
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