Individual
DR. KURT M JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-1530
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
50558
WI
207RC0000X
Cardiovascular Disease Physician
50558-020
WI
207RI0011X
Interventional Cardiology Physician
Primary
50558-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598918300
—
MN
Enumeration date
01/23/2006
Last updated
12/30/2020
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