Individual
DR. MICHAEL DUANE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O. MPH
Contact information
Practice address
2261 PHILADELPHIA DR, DAYTON, OH 45406-1814
(937) 734-6700
Mailing address
4222 TYLERSVILLE RD, WEST CHESTER, OH 45011-8634
(513) 860-1099
(888) 615-8287
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
34. 005720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249609
—
OH
Enumeration date
05/01/2007
Last updated
04/05/2018
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