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Individual

DR. DESMOND ALEXANDER JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5210 HIGHLAND RD STE 201, WATERFORD, MI 48327-1970
(248) 674-2259
Mailing address
5210 HIGHLAND RD STE 201, WATERFORD, MI 48327-1970
(248) 674-2259

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.027945
OH
207RR0500X
Rheumatology Physician
Primary
4301103154
MI

Other

Enumeration date
06/26/2013
Last updated
11/28/2025
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