Individual
DR. GEORGE D JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1946 N 13TH ST, SUITE 483, TOLEDO, OH 43624-1258
(419) 254-2115
(419) 254-2121
Mailing address
29632 DURHAM DR, PERRYSBURG, OH 43551-3409
(419) 754-4883
(419) 754-4883
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35040440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00181927
RAILROAD MEDICARE
OH
Enumeration date
10/26/2006
Last updated
03/07/2023
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