IndividualActive
Annie Jacobsen, M.D.
NPI 1780002592 · Hematology & Oncology Physician · Stillwater, MN
Provider details
- NPI number
- 1780002592
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 61631 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
921 Greeley St S
Stillwater, MN 55082-5935
Phone: (651) 439-1234
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S
Bloomington, MN 55425-4516
Additional practice locations (1)
- 640 Jackson StSaint Paul, MN 55101-2502Phone: (651) 254-3448Fax: (651) 254-3470
Registry dates
- Enumerated
- 2014-03-31
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.