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Jackson Ob/gyn
Specialist in Jackson, Michigan
NPI 1083679971

Jackson Ob/gyn is a Specialist based in Jackson, MI. Jackson Ob/gyn practices in Jackson, MI. The NPI Number for Jackson Ob/gyn is 1083679971 and holds a License No. MM012522 (Michigan).

The current practice location address for Jackson Ob/gyn is 300 W Washington Ave, Jackson, MI and can be reached out via phone at 517-787-0334 and via fax at 517-787-2114.

Location: 300 W Washington Ave, Jackson, MI, 49201-2180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083679971
Provider Name
Jackson Ob/gyn
Credential
Provider Entity Type
Organization
Address
300 W Washington Ave, Jackson, MI, 49201-2180
Phone Number
517-787-0334
Fax Number
517-787-2114
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
300 W Washington Ave
City
Jackson
State
Michigan
Zip
49201-2180
Phone Number
517-787-0334
Fax Number
517-787-2114
person
Provider Business Mailing Address Details
Address
300 W Washington Ave
City
Jackson
State
Michigan
Zip
49201-2180
Phone Number
517-787-0334
Fax Number
517-787-2114
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MM012522 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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