Whalio Doctors

NPI 1609987494

Michael L Jackson, MD

Practitioner Emergency Medicine Physician Seymour, IN

Practice location

Address
411 W Tipton St, Seymour, IN 47274-2363
Phone
(812) 522-2349
Mailing address
1155 W 3rd St, Bloomington, IN 47404-5016

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 01032507A (IN)

Registry record

NPI
1609987494
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
7 Mar 2023

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.