Individual
EMILIE SUE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 13TH AVE S STE 206, GREAT FALLS, MT 59405-4300
(406) 731-8888
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01090118A
IN
207N00000X
Dermatology Physician
140163
MT
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
140163
MT
Other
Enumeration date
03/19/2019
Last updated
07/11/2025
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