Individual
DAWN JACKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2858
Mailing address
145 PROSPECT ST, ISHPEMING, MI 49849-2623
(906) 869-6584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4704200910
MI
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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