Individual
JACOB MICHAEL FELDHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-7770
(573) 882-9876
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2022011938
MO
2085R0202X
Diagnostic Radiology Physician
ME123171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108026
—
MO
Enumeration date
04/25/2013
Last updated
06/28/2022
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