Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RODGER DALE JACKSON JR., DO, MPH
Active Sole ProprietorDR. RODGER DALE JACKSON JR., DO, MPH is a Emergency Medicine healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1588795546 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · WEST BLOOMFIELD, MI
Registration Details
- NPI Number
- 1588795546
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2007 (19.403711339172 yrs)
- Last Updated
- Jan 22, 2013
- Licenses
-
5101016798 (MI)5101016798 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6777 W MAPLE RDDEPARTMENT OF EMERGENCY MEDICINEWEST BLOOMFIELD, MI, 483223013Browse MI providers · Browse ZIP 48322
- Phone
- 3136142186
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Internal Medicine
Other Emergency Medicine Providers in WEST BLOOMFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| THOMAS J PETINGA | D.O. | 1548217706 |
| SAL M. VARANO | M.D. | 1710927918 |
| BERT SILICH | M.D. | 1578670097 |
| DAVID M. BEDOL | M.D. | 1902905045 |
| NABIL E. KHOURY | M.D. | 1497836548 |
| JAWAD A. ARSHAD | M.D. | 1396819900 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.