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KIMBERLY K JACOBSEN MD

Individual Provider (NPI-1) Active

Anesthesiology

Provider Information

NPI Number
1851786248
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
14700 28TH AVE N STE 20, PLYMOUTH, MN, 554474876
Phone
(763) 559-3779
Fax
(763) 450-3986

Specialties & Taxonomies

Anesthesiology, Critical Care Medicine License: WI #66773
Anesthesiology Primary License: MN #78154
Anesthesiology License: WI #66773

All Addresses

LOCATION

14700 28TH AVE N STE 20

PLYMOUTH, MN, 554474876

(763) 559-3779

MAILING

PO BOX 47159

PLYMOUTH, MN, 554470159

(763) 559-3779