Individual
MICHAEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-7754
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-7754
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
D0078231
MD
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
D0078231
MD
2083X0100X
Occupational Medicine Physician
D0078231
MD
208VP0000X
Pain Medicine Physician
Primary
D0078231
MD
Other
Enumeration date
01/14/2006
Last updated
04/09/2019
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