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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON OB/GYN

Active Organization

JACKSON OB/GYN is a Specialist organization located in JACKSON, Michigan. NPI 1083679971 is currently active in the NPPES registry. Verify at CMS.

Specialist · JACKSON, MI

Registration Details

NPI Number
1083679971
Provider Type
Organization
NPI Issued
Apr 20, 2006 (20.301661391096 yrs)
Last Updated
Aug 22, 2020
License
MM012522 (MI)

Practice Information

Address
300 W WASHINGTON AVE
STE 60
JACKSON, MI, 492012180
Browse MI providers · Browse ZIP 49201
Phone
5177870334
Fax
5177872114
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.