| Dr Dale Gary Jacobson, MD | |
|
525 Kenosha St, #a, Walworth, WI 53184 | |
| (262) 275-2101 | |
| (262) 275-0752 |
| Full Name | Dr Dale Gary Jacobson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 525 Kenosha St, Walworth, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346357860 | NPI | - | NPPES |
| 30394600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23975 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Gary Jacobson, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Dale Gary Jacobson, MD 525 Kenosha St, #a, Walworth, WI 53184 Ph: (262) 275-2101 |
Dr. Nathan C Gilling, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Kenosha St, Walworth, WI 53184 Phone: 262-275-2101 | |
Dr. Lindsey E Tuntland, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 525 Kenosha St, Walworth, WI 53184 Phone: 262-275-2101 Fax: 262-275-0752 | |
Dr. Janis A Lowell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Kenosha St, #a, Walworth, WI 53184 Phone: 262-275-2101 Fax: 262-275-0752 |