Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS REED JACKSON, M.D.
Active Sole ProprietorDOUGLAS REED JACKSON, M.D. is a Electrodiagnostic Medicine healthcare provider located in MIDLAND, Michigan. NPI 1730384744 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · MIDLAND, MI
Registration Details
- NPI Number
- 1730384744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2007 (19.173066805958 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4301031923 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3211 APPLEWOOD RDMIDLAND, MI, 486402666Browse MI providers · Browse ZIP 48640
- Phone
- 9898351556
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
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.