Individual
DR. JACOB CORNELL HALVORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-4959
(608) 263-8060
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
02005652A
IN
208100000X
Physical Medicine & Rehabilitation Physician
567279
WI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
68215
WI
Other
Enumeration date
07/24/2015
Last updated
09/22/2021
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