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ROBERT CONRAD JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 240-2836
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 240-2836

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60833986
WA
207XX0801X
Orthopaedic Trauma Physician
Primary
MD60833986
WA

Other

Enumeration date
03/25/2013
Last updated
08/19/2019
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