Organization
WINFIELD FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT JACOBUS DO, FACOFP (PHYSICIAN/OWNER)
(219) 226-1529
Entity
Organization
Contact information
Practice address
9150 E 109TH AVE STE 2A, CROWN POINT, IN 46307-7686
(219) 226-1529
(219) 226-2994
Mailing address
9150 E 109TH AVE, STE 2A, CROWN POINT, IN 46307-7686
(219) 226-1529
(219) 226-2994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
06/12/2015
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