Whalio Doctors

NPI 1255383741

Michael D Jackson, MD

Practitioner Family Medicine Physician Garden City, KS

Practice location

Address
602 N 6th St, Garden City, KS 67846-5509
Phone
(620) 272-2519
Mailing address
PO Box 803929, Kansas City, MO 64180-3929

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 04-19573 (KS)

Registry record

NPI
1255383741
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 May 2006
Record last updated
3 Jun 2024

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.