Individual
DR. MARY L JACKSON-HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 WOODWARD AVE, STE 418, DETROIT, MI 48201-2061
(313) 831-8805
Mailing address
3800 WOODWARD AVE, STE 418, DETROIT, MI 48201-2061
(313) 831-8805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301046737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4180604
—
MI
Enumeration date
11/01/2006
Last updated
07/09/2007
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