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

DR. MICHAEL DONIEL JACKSON, M.D

Active Sole Proprietor

DR. MICHAEL DONIEL JACKSON, M.D is a Physical Medicine & Rehabilitation healthcare provider located in SAINT PAUL, Minnesota. NPI 1659590735 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · SAINT PAUL, MN

Registration Details

NPI Number
1659590735
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2007 (19.350225762786 yrs)
Last Updated
Aug 16, 2024
Licenses
37062 (IA)
37998 (MN)
Sole Proprietor
Yes

Practice Information

Address
205 WABASHA ST S
SAINT PAUL, MN, 551071805
Browse MN providers · Browse ZIP 55107
Phone
9529675584
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in SAINT PAUL, MN

Name Credential NPI
ROBERT S. ROBITAILLE D.O. 1922078427
JESS W OLSON MD 1326012824
REBECCA M KOERNER MD 1063487924
BRADLEY A HELMS MD 1255390449
KRISTINE KAY SPIEWAK MD 1093774895
DIANE M CHAPPUIS MD 1265492722
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.