Individual
JACOB CHARLES MATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-4005
Mailing address
5009 W EQUESTRIAN PL APT 1317, SIOUX FALLS, SD 57106-6814
(608) 790-0719
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31822
SD
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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