NPI 1306265582

Jacob Cooper Deweerth, MD

Practitioner Pain Medicine Physician Minneapolis, MN

Practice location

Address: 2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone: (612) 672-6000
Mailing address: 1 Veterans Drive Department of Rehabilitation and Physical Medicine, Minneapolis, MN 55417-2309

Registered specialties (3)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 65497 (MN)

Other Pain Medicine providers in Minnesota →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 65497 (MN)

Other Anesthesiology providers in Minnesota →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 65497 (MN)

Registry record

NPI: 1306265582
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2014
Record last updated: 5 Feb 2025

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.