Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THAD M JACKSON, D.O.
ActiveDR. THAD M JACKSON, D.O. is a Family Medicine healthcare provider located in GRAYLING, Michigan. NPI 1891782421 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAYLING, MI
Registration Details
- NPI Number
- 1891782421
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.691890602219 yrs)
- Last Updated
- Jul 8, 2007
- License
-
TJ013702 (MI)
Practice Information
- Address
-
1010 W NORTH DOWN RIVER RDGRAYLING, MI, 497382060Browse MI providers · Browse ZIP 49738
- Phone
- 9893487671
- Fax
- 9893488414
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAYLING, MI
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM H MCNAMARA | M.D. | 1952398638 |
| DR. GREGG B HANERT | D.O. | 1366439044 |
| DR. NESTOR MENDOZA GUNO | MD | 1659431658 |
| JOANNA LYNNE NIGRELLI | D.O. | 1609028992 |
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.