Individual provider · Type 1 NPI

Gregory Jacobs, DO

Family Medicine Physician · St. Cloud, MN

NPI number 1790429595 Active

Practice location

1555 Northway Dr Ste 200
St. Cloud, MN 56303-4913

Fax (320) 240-3165

Mailing address

1555 Northway Dr Ste 100
St. Cloud, MN 56303-1258

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X78055 (MN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1790429595

Gregory Jacobs, DO's National Provider Identifier is 1790429595, issued on Apr 26, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Cloud, MN. The record was last updated on Jun 22, 2025.