Individual
MRS. JACQUELEEN MARIE MAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 BYRON RD, HOWELL, MI 48843-1007
(517) 546-0200
(517) 546-4669
Mailing address
1200 BYRON RD, HOWELL, MI 48843-1007
(517) 546-0200
(517) 546-4669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301048989
MI
Other
Enumeration date
06/01/2006
Last updated
05/11/2010
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