NPI 1053993881

Jacob Joseph Dirkman, DO

Practitioner Emergency Medical Services (Emergency Medicine) Physician Wausau, WI

Practice location

Address: 333 Pine Ridge Blvd, Wausau, WI 54401-4187
Phone: (800) 283-2881
Mailing address: 1834 Judy Dr, Kronenwetter, WI 54455-8812

Registered specialties (2)

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 81413-21 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053993881
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2021
Record last updated: 28 Feb 2024

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.