Philip Jackson, M.D.

NPI #1437174638 in Inkster, Michigan

Provider Information

NPI Number: 1437174638
Entity Type: Individual
Name: Philip Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 12, 2006
Last Updated: Oct 21, 2009

Practice Location

Address: 2500 HAMLIN DR
City: Inkster
State: Michigan
ZIP Code: 48141-2348
Phone: (313) 561-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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