Daniel B Jackson, P.A.

NPI #1356376230 in Wausau, Wisconsin

Provider Information

NPI Number: 1356376230
Entity Type: Individual
Name: Daniel B Jackson, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jul 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2720 PLAZA DR
Address 2: SUITE 1100
City: Wausau
State: Wisconsin
ZIP Code: 54401-4158
Phone: (715) 847-2472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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