Dr JACOB J DEMELLE is a male medical professional, specializing in Physician Assistant. He graduated in 2008.
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
3860 MONROE RD
DE PERE
WI
541158399
Tel: 9204964700
| Npi | 1558522664 |
| Pac Id | 4587738109 |
| Professional Enrollment Id | I20080730000798 |
| Last Name | DEMELLE |
| First Name | JACOB |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Group Practice Pac Id | 5799694675 |
| Number Of Group Practice Members | 497 |
| Line 1 Street Address | 3860 MONROE RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DE PERE |
| State | WI |
| Zip Code | 541158399 |
| Phone Number | 9204964700 |
| Hospital Affiliation Ccn 1 | 520075 |
| Hospital Affiliation Lbn 1 | ST VINCENT HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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