# JACKSON OB-GYN PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790956837
- **Authorized official:** MR. MICHAEL MCDONNELL DO (OWNER/DR)
- **Authorized official phone:** (517) 787-0334

## Contact information

- **Practice address:** 306 W WASHINGTON, STE 102, JACKSON, MI 49201
- **Practice address phone:** (517) 787-0334
- **Mailing address:** 306 W WASHINGTON, STE 102, JACKSON, MI 49201
- **Mailing address phone:** (517) 787-0334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 5101012522 | MI | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 04/21/2008