Michael L Jacobson, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · La Crosse, WI

NPI

1396736799

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

052138 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-03

Last updated

2019-05-16