Individual
DR. ERIC MICHAEL JAKUBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1503
(262) 896-6000
(262) 896-3921
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
40107
IA
207U00000X
Nuclear Medicine Physician
56046
WI
2085R0202X
Diagnostic Radiology Physician
40107
IA
2085R0202X
Diagnostic Radiology Physician
Primary
56046
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017850
—
WI
Enumeration date
04/22/2007
Last updated
08/06/2025
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