DR. Wayne Stewart Jackson, OD

NPI #1831174275 in Whitehall, Michigan

Provider Information

NPI Number
1831174275
Entity Type
Individual
Name
DR. Wayne Stewart Jackson, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Dec 8, 2005
Last Updated
Jun 14, 2010

Practice Location

Address
4613 DOUG DR
ZIP Code
49461-9647
Phone
(231) 894-9893

Specialties & Taxonomy Codes

Specialty
Optometrist

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