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Individual

HERSHEL JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-8040
Mailing address
23077 GREENFIELD RD STE 450, SOUTHFIELD, MI 48075-3760
(248) 559-8810

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301043930
MI

Other

Enumeration date
02/20/2007
Last updated
07/08/2007
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