Individual
DR. MICHAEL HOWARD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 NW FIELDING ROAD, TOPEKA, KS 66618
(785) 286-4475
Mailing address
4016 SW 28TH TER, TOPEKA, KS 66614-2212
(785) 246-6860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023922
WA
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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