Individual
JACOB J MARCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 735-7645
(920) 738-5787
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 830-5900
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141041
WI
363L00000X
Nurse Practitioner
Primary
7678
WI
Other
Enumeration date
02/16/2017
Last updated
05/12/2017
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