Individual
MR. JACK PHILIP PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22201 MOROSS RD STE 50, DETROIT, MI 48236-2166
(313) 343-7774
(313) 343-8747
Mailing address
22201 MOROSS RD STE 50, DETROIT, MI 48236-2891
(313) 343-4612
(313) 417-0452
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
05/16/2025
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