Individual
DR. MICHELLE LEIGH JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D, B.S.
Contact information
Practice address
1685 RICE ST, ROSEVILLE, MN 55113-6802
(651) 488-0251
Mailing address
1685 RICE ST, ROSEVILLE, MN 55113-6802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117272-0
MN
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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