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Thomas V Jackson, MD
Emergency Medicine Physician in Portage, Wisconsin
NPI 1700862992

Thomas V Jackson is a Emergency Medicine Physician based in Portage, WI. Thomas V Jackson practices in Portage, WI and has the professional credentials of MD. The NPI Number for Thomas V Jackson is 1700862992 and holds a License No. 21269020 (Wisconsin).

The current practice location address for Thomas V Jackson is 2817 New Pinery Rd, Portage, WI and can be reached out via phone at 608-742-4131 and via fax at 608-745-5173.

Location: 2817 New Pinery Rd, Portage, WI, 53901-0387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700862992
Provider Name
Thomas V Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2817 New Pinery Rd, Portage, WI, 53901-0387
Phone Number
608-742-4131
Fax Number
608-745-5173
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30128500 05 WI
institution
Provider Business Practice Location Address Details
Address
2817 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9257
Phone Number
608-742-4131
Fax Number
608-745-5173
person
Provider Business Mailing Address Details
Address
2817 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9257
Phone Number
608-742-4131
Fax Number
608-745-5173
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
21269020 (Wisconsin)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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