Individual provider · Type 1 NPI

Molly C. Jacobson, PA-C

Medical Physician Assistant · Onalaska, WI

NPI number 1669531448 Active

Practice location

3111 Gundersen Dr
Onalaska, WI 54650-8447

Call (608) 782-7300 Map

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2001030169 (MO)
Medical Physician Assistant Primary 363AM0700X2086 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1669531448

Molly C. Jacobson, PA-C's National Provider Identifier is 1669531448, issued on Dec 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Onalaska, WI. The record was last updated on Apr 14, 2016.