Individual
DOUGLAS REED JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3211 APPLEWOOD RD, MIDLAND, MI 48640-2666
(989) 835-1556
Mailing address
3211 APPLEWOOD RD, MIDLAND, MI 48640-2666
(989) 835-1556
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
4301031923
MI
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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