NPI 1609987494
Michael L Jackson, MD
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
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.