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Lois J Jacobs Md Phd S C
Medical Specialty Clinic/Center in Oshkosh, Wisconsin
NPI 1982887253

Lois J Jacobs Md Phd S C is a Medical Specialty Clinic/Center based in Oshkosh, WI and is specialized in Medical Specialty. Lois J Jacobs Md Phd S C practices in Oshkosh, WI. The NPI Number for Lois J Jacobs Md Phd S C is 1982887253 and holds a License No. 30302 (Wisconsin).

The current practice location address for Lois J Jacobs Md Phd S C is 1510 Arboretum Dr, Oshkosh, WI and can be reached out via phone at 920-231-5313 and via fax at 920-231-5348.

Location: 1510 Arboretum Dr, Oshkosh, WI, 54901-2790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982887253
Provider Name
Lois J Jacobs Md Phd S C
Credential
Provider Entity Type
Organization
Address
1510 Arboretum Dr, Oshkosh, WI, 54901-2790
Phone Number
920-231-5313
Fax Number
920-231-5348
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31609600 05 WI
institution
Provider Business Practice Location Address Details
Address
1510 Arboretum Dr
City
Oshkosh
State
Wisconsin
Zip
54901-2790
Phone Number
920-231-5313
Fax Number
920-231-5348
person
Provider Business Mailing Address Details
Address
1510 Arboretum Dr
City
Oshkosh
State
Wisconsin
Zip
54901-2790
Phone Number
920-231-5313
Fax Number
920-231-5348
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
30302 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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