Individual
JAMIE JACOBSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036091358
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
71730
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091358
—
IL
05
—
1386606432
—
WI
Enumeration date
04/04/2006
Last updated
10/17/2024
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