Michael L Jacobson, CRNA
Nurse Anesthetist, Certified Registered in La Crosse, WI. Individual provider (NPI-1).
NPI number1396736799
StatusActive
Last updated in NPPESMay 16, 2019
Details
- NPI
- 1396736799
- Entity type
- Individual (NPI-1)
- Name
- Michael L Jacobson
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2005
- Last updated
- May 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 052138 | WI | Yes |
Practice location
700 West Ave SLa Crosse, WI 54601-4783
Phone 608-785-0940 · Fax 608-791-7162
Mailing address
Po Box 1510Eau Claire, WI 54702-1510
Phone 608-785-0940 · Fax 608-791-7162
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All 75 Certified Registered Nurse Anesthetist providers in La Crosse · All 4,035 providers in La Crosse
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