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Ian T. Jackson, M.d.
Medical Specialty Clinic/Center in Novi, Michigan
NPI 1649310632

Ian T. Jackson, M.d. is a Medical Specialty Clinic/Center based in Novi, MI and is specialized in Medical Specialty. Ian T. Jackson, M.d. practices in Novi, MI. The NPI Number for Ian T. Jackson, M.d. is 1649310632 and holds a License No. (Michigan).

The current practice location address for Ian T. Jackson, M.d. is 26850 Providence Pkwy, Novi, MI and can be reached out via phone at 248-465-5300 and via fax at 248-465-5301. You can also correspond with Ian T. Jackson, M.d. through the mailing address at 26850 PROVIDENCE PKWY, NOVI, MI - 48374-1213 (mailing address contact number: 248-465-5300).

Location: 26850 Providence Pkwy, Novi, MI, 48374-1213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649310632
Provider Name
Ian T. Jackson, M.d.
Credential
Provider Entity Type
Organization
Address
26850 Providence Pkwy, Novi, MI, 48374-1213
Phone Number
248-465-5300
Fax Number
248-465-5301
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
26850 Providence Pkwy
City
Novi
State
Michigan
Zip
48374-1213
Phone Number
248-465-5300
Fax Number
248-465-5301
person
Provider Business Mailing Address Details
Address
26850 Providence Pkwy
City
Novi
State
Michigan
Zip
48374-1213
Phone Number
248-465-5300
Fax Number
248-465-5301
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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