Individual
DR. JACOB SELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
51267
MN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
51267
MN
208D00000X
General Practice Physician
0101236805
VA
Other
Enumeration date
09/26/2005
Last updated
01/15/2021
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