Individual
KATHERINE JEANETTE JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 296-0622
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 296-0622
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
58592
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
58592
MN
Other
Enumeration date
05/02/2012
Last updated
06/21/2022
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