Individual
DR. JACOB ISAAC IHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 N 1ST AVE E, SUITE #5, ELY, MN 55731-1268
(218) 365-3145
Mailing address
40 N 1ST AVE E, SUITE #5, ELY, MN 55731-1268
(218) 365-3145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13307
MN
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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