Individual
JACOB WHETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1208 6TH AVE, SUPERIOR, MT 59872-9667
(406) 822-4801
Mailing address
1208 6TH AVE, SUPERIOR, MT 59872-9667
(406) 822-4801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70836
MT
Other
Enumeration date
03/30/2015
Last updated
09/05/2025
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