Individual
DR. DANIEL J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, CSC BOX 9988, MADISON, WI 53792-0001
(608) 239-3515
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
50473
WI
Other
Enumeration date
08/02/2006
Last updated
02/01/2021
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