Individual
DYLAN PATRICK JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 UNION ST STE 2200, ELLSWORTH, ME 04605-1534
(207) 664-5642
(207) 664-5664
Mailing address
50 UNION ST STE 2300, ELLSWORTH, ME 04605-1534
(207) 664-5642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
6401
WI
208600000X
Surgery Physician
Primary
MD24406
ME
Other
Enumeration date
04/03/2016
Last updated
10/06/2024
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