Organization
W.A. FOOTE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE WICKENS (SENIOR VICE PRESIDENT, FINANCE CFO)
(517) 788-6979
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
3434 PARMAN RD, STOCKBRIDGE, MI 49285-9514
(517) 565-3215
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
706123
MI
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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