Individual
DR. MICHAEL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5408 DISCOVERY PARK BLVD, SUITE 300, WILLIAMSBURG, VA 23188-2893
(757) 253-8722
(757) 253-8726
Mailing address
901 ENTERPRISE PKWY, STE 300, HAMPTON, VA 23666-6249
(757) 825-2500
(757) 825-2500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101233611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006503446
—
VA
05
—
006503489
—
VA
Enumeration date
07/28/2005
Last updated
04/09/2020
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