Provider Demographics
NPI:1932467214
Name:JACOBITZ-KIZZIER, SARAH (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:JACOBITZ-KIZZIER
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 DELHI ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:320 N GRANDVIEW AVE
Practice Address - Street 2:STE D
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6328
Practice Address - Country:US
Practice Address - Phone:563-583-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA41656207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine