Individual
LAITH KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1401 W NORTH ST, JACKSON, MI 49202-3135
(517) 205-2555
Mailing address
1401 W NORTH ST, JACKSON, MI 49202-3135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026620
MI
208D00000X
General Practice Physician
5101026620
MI
Other
Enumeration date
05/10/2020
Last updated
03/14/2026
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