Daniel J Jackson M.D.

NPI 1003823923 - Pediatrics - 2080P0201X

NPI Details
NPI 1003823923
Gender Male
Enumeration Date 08/02/2006
Last Updated 05/11/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
600 HIGHLAND AVE
CSC BOX 9988
MADISON WI, 53792-0001, US
Phone (608) 239-3515
Fax
Business Location
7974 UW HEALTH COURT
MIDDLETON WI, 53562-5531, US
Phone
Fax
Toxanomy
Taxonomy Code 2080P0201X
License State Wisconsin
License Number 50473
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According to our database, Dr. Daniel J Jackson M.D. NPI is 1003823923, taxonomy code is 2080P0201X and license number is 50473, license state is located at Wisconsin. Daniel J Jackson M.D. physically located at 600 Highland Ave, Madison WI, 53792-0001. NPI Number Daniel J Jackson M.D. has the Individual type.

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1003823923 NPI number is provided on an as is basis without warranty of any kind. 1003823923 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel J Jackson M.D. are for informational purposes only.