NPI 1003823923

Daniel J Jackson, MD

Practitioner Pediatric Allergy/Immunology Physician Madison, WI

Practice location

Address: 600 Highland Ave Csc Box 9988, Madison, WI 53792-0001
Phone: (608) 239-3515
Mailing address: 7974 Uw Health Court, Middleton, WI 53562-5531

Registered specialties

Pediatric Allergy/Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0201X Licence 50473 (WI)

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Registry record

NPI: 1003823923
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2006
Record last updated: 1 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.