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Organization
JACKSON GASTROENTEROLOGY CENTER, LLC
Active
Organization
JACKSON GASTROENTEROLOGY CENTER, LLC
Active
Other names
East Jackson Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY LUNN (MEMBER)
(615) 425-0818
Entity
Organization
Contact information
Practice address
4400 ANN ARBOR ROAD, JACKSON, MI 49202
(517) 990-0602
Mailing address
4400 ANN ARBOR ROAD, JACKSON, MI 49202
(517) 990-0602
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MI
Other
Enumeration date
01/11/2008
Last updated
10/20/2008
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