Individual
DR. DONALD JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 E GRAND BLVD, MEDICAL DEPT, DETROIT, MI 48211-2006
(313) 972-6202
(313) 972-6094
Mailing address
2500 E GRAND BLVD, MEDICAL DEPT, DETROIT, MI 48211-2006
(313) 972-6202
(313) 972-6094
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
43010441496
MI
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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