Individual
JOHN AXELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E MICHIGAN AVE, STE 201, JACKSON, MI 49201-1847
(517) 789-7122
(517) 789-5229
Mailing address
150 HAWTHORNE DR, BROOKLYN, MI 49230-8924
(517) 592-8984
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
JA037999
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4618070
—
MI
01
—
JA037999
STATE LICENSE
MI
Enumeration date
02/21/2006
Last updated
03/06/2008
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