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Individual

DR. LOYD A JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2801 W BANCROFT ST, TOLEDO, OH 43606-3328
(419) 530-2211
(419) 530-4984
Mailing address
2801 W BANCROFT ST, TOLEDO, OH 43606-3328
(419) 530-2211
(419) 530-4984

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35083788
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35083788
OHIO LICENSE
OH
01
4301030735
MICHIGAN LICENSE
MI
Enumeration date
05/09/2008
Last updated
05/09/2008
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