Individual
JOHN JACKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
505 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-4111
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-48753
KS
207Q00000X
Family Medicine Physician
Primary
13156
WI
207Q00000X
Family Medicine Physician
268
NE
207Q00000X
Family Medicine Physician
DO159668
OR
Other
Enumeration date
01/25/2007
Last updated
12/16/2025
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