Individual
QUINN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
Mailing address
125 10TH AVE NW, GLENWOOD, MN 56334-1974
(320) 424-2535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13781
MN
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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