MARK A JACKSON MD PLC

TRAVERSE CITY, MI
NPI1740439025
Entity TypeOrganization
Authorized ContactMARK A JACKSON
Physician/Owner
231-935-0913
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
(Licence: MI  4301051555)
Enumeration Date2008-09-11
Last Update Date2008-12-18
Business Address
MARK A JACKSON MD PLC
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684-3198
Phone number: 231-935-0913
Mailing Address
MARK A JACKSON MD PLC
PO BOX 1267
TRAVERSE CITY, MI 49685-1267
Phone number: 231-935-0913