Individual
JACOB BREKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1010 4TH ST SW STE 105, MASON CITY, IA 50401-2856
(641) 428-7847
(641) 428-7999
Mailing address
621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
88259
IA
Other
Enumeration date
07/11/2017
Last updated
04/20/2021
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