Individual
DR. PETER HANS JACOBSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-5902
Mailing address
PO BOX 1881, MILWAUKEE, WI 53201-1881
(414) 288-5902
(414) 288-6138
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1793E
WI
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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