DR. THAD JACKSON, D.O.
Family Medicine
Active
Individual
NPI: 1891782421
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | TJ013702 (MI) |
Frequently Asked Questions
NPI 1891782421 is the National Provider Identifier for DR. THAD JACKSON, D.O., a Family Medicine provider located in Grayling, MI. This NPI was enumerated on September 29, 2005.
DR. THAD JACKSON, D.O. practices at 1010 W NORTH DOWN RIVER RD, Grayling, MI 49738.
Quick Facts
- NPI
- 1891782421
- Type
- Individual
- Enumerated
- Sep 29, 2005
- Last Updated
- Jul 8, 2007
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