THAD M JACKSON

GRAYLING, MI
NPI1891782421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  TJ013702)
Enumeration Date2005-09-29
Last Update Date2007-07-08
Business Address
Dr. THAD M JACKSON D.O.
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738-2060
Phone number: 989-348-7671
Mailing Address
Dr. THAD M JACKSON D.O.
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738-2060
Phone number: 989-348-7671
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