Jackson Ob/gyn

NPI #1083679971 in Jackson, Michigan

Provider Information

NPI Number: 1083679971
Entity Type: Organization
Organization Name: Jackson Ob/gyn
Primary Specialty: Specialist
Enumeration Date: Apr 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 300 W WASHINGTON AVE
Address 2: STE 60
City: Jackson
State: Michigan
ZIP Code: 49201-2180
Phone: (517) 787-0334

Authorized Official

Name: DR. MICHAEL MCDONNELL, D.O.
Title: OWNER
Phone: (517) 787-0334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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