Search › Wisconsin › 106H00000X
Ryan Jacobson
NPI 1144479395 · on the registry since 2008
Practice
- Address
- 1810 N 2nd St
Wausau, WI 54403 - Phone
- (715) 848-4884
- Fax
- (715) 845-5385
- Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- CA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin