person
Jacob Michelsen, PA
Medical Physician Assistant in Caldwell, Idaho
NPI 1841803533

Jacob Michelsen is a Medical Physician Assistant based in Nampa, ID and is specialized in Medical. Jacob Michelsen practices in Caldwell, ID and has the professional credentials of PA. The NPI Number for Jacob Michelsen is 1841803533 and holds a License No. (Idaho).

The current practice location address for Jacob Michelsen is 2005 Arlington Ave, Caldwell, ID and can be reached out via phone at 208-459-1025 and via fax at 208-466-5359.

Location: 2005 Arlington Ave, Caldwell, ID, 83653-0009
person
Provider Profile Details
NPI Number
1841803533
Provider Name
Jacob Michelsen
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2005 Arlington Ave, Caldwell, ID, 83653-0009
Phone Number
208-459-1025
Fax Number
208-466-5359
Provider Enumeration Date
08/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2005 Arlington Ave
City
State
Zip
83605-4808
Phone Number
208-459-1025
Fax Number
208-466-5359
person
Provider Business Mailing Address Details
Address
2005 Arlington Ave
City
State
Zip
83605-4808
Phone Number
208-459-1025
Fax Number
208-466-5359
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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