Individual
DR. LEAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(248) 494-1491
Mailing address
2811 BRUSH ST, DETROIT, MI 48201
(248) 494-1491
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A24571
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
01/20/2026
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