NPI 1073585238

Mark a Jackson, MD

Practitioner Geriatric Medicine (Family Medicine) Physician Traverse City, MI

Practice location

Address: 1000 Pavilions Circle Mark a Jackson MD Plc, Traverse City, MI 49684
Phone: (231) 935-0913
Fax: (231) 935-0984
Mailing address: 10850 E Traverse Hwy STE 4400, Traverse City, MI 49684-1364

Registered specialties (2)

Geriatric Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X Licence 4301051555 (MI)

Other Family Medicine providers in Michigan →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 051555 (MI)

Registry record

NPI: 1073585238
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2006
Record last updated: 23 Oct 2015

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.