NPI 1053405662

Thomas E Jacobsen, MD

Practitioner Family Medicine Physician Hettinger, ND

Practice location

Address: 1000 Highway 12, Hettinger, ND 58639
Phone: (701) 567-4561
Mailing address: 1100 Highway 12, Hettinger, ND 58639-7533

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2916 (ND)

Other Family Medicine providers in North Dakota →

Registry record

NPI: 1053405662
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.