Organization
JACKSON & BIGELOW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LAWRENCE JACKSON M.D. (PRESIDENT)
(989) 631-2020
Entity
Organization
Contact information
Practice address
400 JOSEPH DR STE B, MIDLAND, MI 48642-8636
(989) 631-2020
(989) 835-6686
Mailing address
400 JOSEPH DR STE B, MIDLAND, MI 48642-8636
(989) 631-2020
(989) 835-6686
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256160001
DMERC
MI
05
—
103085182
—
MI
05
—
103103914
—
MI
05
—
104430921
—
MI
05
—
104430959
—
MI
01
—
180E645300
BCBS GROUP NUMBER
MI
01
—
CN3193
RAILROAD MEDICARE
MI
Enumeration date
03/02/2007
Last updated
05/23/2023
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