person
Dr. Dennis M Jacob, MD
Vascular Surgery Physician in Indianapolis, Indiana
NPI 1245262054

Dennis M Jacob is a Vascular Surgery Physician based in Indianapolis, IN and is specialized in Vascular Surgery. Dennis M Jacob practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Dennis M Jacob is 1245262054 and holds a License No. 01033979 (Indiana).

The current practice location address for Dennis M Jacob is 1400 N Ritter Ave, Indianapolis, IN and can be reached out via phone at 317-355-7220 and via fax at 317-355-9672. You can also correspond with Dennis M Jacob through the mailing address at 6626 E 75TH ST, INDIANAPOLIS, IN - 46250-2805 (mailing address contact number: ).

Location: 1400 N Ritter Ave, Indianapolis, IN, 46250-2805
person
Provider Profile Details
NPI Number
1245262054
Provider Name
Dennis M Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 N Ritter Ave, Indianapolis, IN, 46250-2805
Phone Number
317-355-7220
Fax Number
317-355-9672
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01198024 01 IN RR MEDICARE PTAN
100366930A 05 IN
institution
Provider Business Practice Location Address Details
Address
1400 N Ritter Ave
City
State
Zip
46219-3052
Phone Number
317-355-7220
Fax Number
317-355-9672
person
Provider Business Mailing Address Details
Address
1400 N Ritter Ave
City
State
Zip
46219-3052
Phone Number
317-355-7220
Fax Number
317-355-9672
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
01033979 (Indiana)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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