Occupational Health Program of Jackson

NPI #1205039021 in Jackson, Michigan

Provider Information

NPI Number: 1205039021
Entity Type: Organization
Organization Name: Occupational Health Program of Jackson
Primary Specialty: Family Medicine
Enumeration Date: Jun 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 500 LANSING AVE
City: Jackson
State: Michigan
ZIP Code: 49201-2820
Phone: (517) 787-6907

Authorized Official

Name: TRACY STUMP
Title: MEDICAL BILLER
Phone: (517) 787-6907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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