NPI 1629323282

Margaret Rose Jacoby

Practitioner Other Technician Fox Point, WI

Practice location

Address: 8003 N Port Washington Rd, Fox Point, WI 53217-2647
Phone: (414) 228-6444
Fax: (414) 228-7005
Mailing address: 3610 Michelle Witmer Memorial Dr Suite 110, New Berlin, WI 53151-5292

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Wisconsin →

Registry record

NPI: 1629323282
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2012
Record last updated: 19 Jul 2012

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.