Individual
JACOB BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 RIVARD ST, SOMERSET, WI 54025-7382
(715) 247-2060
(715) 247-2070
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72180
WI
Other
Enumeration date
04/09/2018
Last updated
10/19/2021
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