Individual provider · Type 1 NPI

Mark D. Jakubek

Specialist · La Crosse, WI

NPI number 1003829649 Active

Practice location

1725 State St
La Crosse, WI 54601-3742

Mailing address

1013 State St Apt 8
La Crosse, WI 54601-3495

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X761-039 (WI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003829649

Mark D. Jakubek's National Provider Identifier is 1003829649, issued on Aug 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Crosse, WI. The record was last updated on Jul 8, 2007.