Individual
JAKE R HOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3383-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669889069
—
WI
Enumeration date
07/17/2014
Last updated
03/04/2020
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