Individual
DR. FREDERICK MARIUS JACOBSEN IV
Active
Individual
DR. FREDERICK MARIUS JACOBSEN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
14701
DC
2084N0400X
Neurology Physician
14701
DC
2084P0800X
Psychiatry Physician
14701
DC
2084P0805X
Geriatric Psychiatry Physician
14701
DC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
14701
DC
208U00000X
Clinical Pharmacology Physician
14701
DC
Other
Enumeration date
03/26/2007
Last updated
08/12/2008
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