Individual
DR. JACOB PHILIP DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
(414) 747-8848
Mailing address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
(414) 747-8848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT209134
PA
2085R0202X
Diagnostic Radiology Physician
Primary
75269
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170739
—
WI
Enumeration date
05/29/2015
Last updated
11/30/2021
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