IMMANUEL JACKSON

LANSING, MI
NPI1598452864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  5101029445)
Enumeration Date2023-04-18
Last Update Date2026-05-28
Business Address
IMMANUEL JACKSON DO
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-1000
Mailing Address
IMMANUEL JACKSON DO
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7200
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