Individual
DR. GARTH R JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DRIVE, #8220, SAN DIEGO, CA 92103-8220
(619) 543-6711
(619) 543-5869
Mailing address
2S661 AVE NORMANDY W, OAK BROOK, IL 60523
(630) 271-1363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A99668
CA
208600000X
Surgery Physician
—
IL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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