Individual
DR. CORY D JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, PA-C
Contact information
Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4744
MN
363A00000X
Physician Assistant
Primary
12171
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205866894
—
MN
Enumeration date
07/03/2006
Last updated
05/02/2017
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