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Dr. Dale Gary Jacobson, MD
Family Medicine Physician in Walworth, Wisconsin
NPI 1346357860

Dale Gary Jacobson is a Family Medicine Physician based in Milwaukee, WI. Dale Gary Jacobson practices in Walworth, WI and has the professional credentials of MD. The NPI Number for Dale Gary Jacobson is 1346357860 and holds a License No. 23975 (Wisconsin).

The current practice location address for Dale Gary Jacobson is 525 Kenosha St, Walworth, WI and can be reached out via phone at 262-275-2101 and via fax at 262-275-0752.

Location: 525 Kenosha St, Walworth, WI, 53215-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346357860
Provider Name
Dale Gary Jacobson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
525 Kenosha St, Walworth, WI, 53215-2843
Phone Number
262-275-2101
Fax Number
262-275-0752
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30394600 05 WI
institution
Provider Business Practice Location Address Details
Address
525 Kenosha St
City
Walworth
State
Wisconsin
Zip
53184
Phone Number
262-275-2101
Fax Number
262-275-0752
person
Provider Business Mailing Address Details
Address
525 Kenosha St
City
Walworth
State
Wisconsin
Zip
53184
Phone Number
262-275-2101
Fax Number
262-275-0752
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
23975 (Wisconsin)
Definition
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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