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Individual

DR. MICHAEL JAKUBOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
205 GRANT ST, DENNISON, OH 44621-1215
(740) 922-2325
(740) 922-9362
Mailing address
1923 11TH ST, CUYAHOGA FALLS, OH 44221-3831
(740) 922-9362

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3635
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000368657
ANTHEM BCBS
OH
05
2617850
OH
01
341968870027
CARESOURCE
OH
01
7506718
AETNA
OH
01
P00229278
RAILROAD MEDICARE
OH
Enumeration date
08/18/2006
Last updated
07/08/2007
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