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Mr. Michael Blake Jacob, PA-C
Physician Assistant in Plymouth, Minnesota
NPI 1821502154

Michael Blake Jacob is a Physician Assistant based in St Louis Park, MN. Michael Blake Jacob practices in Plymouth, MN and has the professional credentials of PA-C. The NPI Number for Michael Blake Jacob is 1821502154 and holds a License No. 12595 (Minnesota).

The current practice location address for Michael Blake Jacob is 2855 Campus Dr, Plymouth, MN and can be reached out via phone at 763-577-7000. You can also correspond with Michael Blake Jacob through the mailing address at 5600 CAMERATA WAY UNIT 221, ST LOUIS PARK, MN - 55416-5285 (mailing address contact number: 612-590-3809).

Location: 2855 Campus Dr, Plymouth, MN, 55416-5285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821502154
Provider Name
Michael Blake Jacob
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2855 Campus Dr, Plymouth, MN, 55416-5285
Phone Number
763-577-7000
Fax Number
Provider Enumeration Date
11/22/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2855 Campus Dr
City
Plymouth
State
Minnesota
Zip
55441-2649
Phone Number
763-577-7000
Fax Number
person
Provider Business Mailing Address Details
Address
2855 Campus Dr
City
Plymouth
State
Minnesota
Zip
55441-2649
Phone Number
763-577-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Sports Medicine
Taxonomy
207XX0005X
License No.
12593 (Minnesota)
Definition
An orthopedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
12595 (Minnesota)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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