Mark A Jackson Md Plc is a Geriatric Medicine (Family Medicine) Physician based in Traverse City, MI and is specialized in Geriatric Medicine. Mark A Jackson Md Plc practices in Traverse City, MI. The NPI Number for Mark A Jackson Md Plc is 1740439025 and holds a License No. 4301051555 (Michigan).
The current practice location address for Mark A Jackson Md Plc is 1000 Pavillions Cir, Traverse City, MI and can be reached out via phone at 231-935-0913 and via fax at 231-935-0984. You can also correspond with Mark A Jackson Md Plc through the mailing address at PO BOX 1267, TRAVERSE CITY, MI - 49685-1267 (mailing address contact number: 231-935-0913).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B81350 | 01 | MI | BCBS GROUP ID# |
| 1073585238 | 01 | MI | IND NPI |
| 0802802421 | 01 | MI | BCBS PIN# |
| 080B813500 | 01 | MI | BCBS ID# |
| 1740439025 | 01 | MI | GROUP NPI |
| 0MI1114 | 01 | MI | MEDICARE GROUP |
| 1073585238 | 05 | MI | |
| MI1114001 | 01 | MI | MEDICARE IND PTAN |
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