Individual
MR. STEVEN MICHAEL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 4TH AVE., SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Mailing address
113 4TH AVE., P.O. BOX 300, SHELL LAKE, WI 54871-0300
(715) 468-7833
(715) 468-7839
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
263328
WI
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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