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

IAN T. JACKSON, M.D.

Active Organization

IAN T. JACKSON, M.D. is a Medical Specialty Clinic organization located in NOVI, Michigan. NPI 1649310632 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · NOVI, MI

Registration Details

NPI Number
1649310632
Provider Type
Organization
NPI Issued
Feb 7, 2007 (19.548935584714 yrs)
Last Updated
Mar 22, 2010

Practice Information

Address
26850 PROVIDENCE PKWY
STE 205
NOVI, MI, 483741213
Browse MI providers · Browse ZIP 48374
Phone
2484655300
Fax
2484655301
Primary Specialty
Medical Specialty Clinic
261QM2500X

Other Medical Specialty Clinic Organizations in NOVI, MI

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.