Individual
JACOB DUBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2251 CONNECTICUT AVE S, SARTELL, MN 56377
(320) 253-5220
(320) 203-2200
Mailing address
8170 33RD AVE S, MAIL STOP 21110Q, BLOOMINGTON, MN 55425-4516
(320) 253-5220
(320) 203-2200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
66318
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
03/03/2014
Last updated
07/13/2018
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