DANIEL B JACKSON

WAUSAU, WI
NPI1356376230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  1074)
Enumeration Date2006-07-11
Last Update Date2007-07-08
Business Address
-- DANIEL B JACKSON P.A.
2720 PLAZA DR SUITE 1100
WAUSAU, WI 54401-4158
Phone number: 715-847-2472
Mailing Address
-- DANIEL B JACKSON P.A.
3000 WESTHILL DR SUITE 303
WAUSAU, WI 54401-3795
Phone number: