Individual
ALAN PETER JAKUBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58102-4421
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
37882
MN
208100000X
Physical Medicine & Rehabilitation Physician
71963
WI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G85336
CA
225400000X
Rehabilitation Practitioner
G85336
CA
Other
Enumeration date
10/10/2006
Last updated
01/06/2024
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