Geraldine Jackson M.D.

NPI 1083781454 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1083781454
Gender Female
Enumeration Date 11/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
HENRY FORD HEALTH SYSTEM
19401 HUBBARD DRIVE
DEARBORN MI, 48126, US
Phone (313) 982-8330
Fax (313) 982-8294
Business Location
HENRY FORD HEALTH SYSTEM
19401 HUBBARD DRIVE
DEARBORN MI, 48126, US
Phone (313) 982-8330
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Michigan
License Number 056010
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According to our database, Geraldine Jackson M.D. NPI is 1083781454, taxonomy code is 207V00000X and license number is 056010, license state is located at Michigan. Geraldine Jackson M.D. physically located at Henry Ford Health System, Dearborn MI, 48126. NPI Number Geraldine Jackson M.D. has the Individual type.

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1083781454 NPI number is provided on an as is basis without warranty of any kind. 1083781454 is maintained by the National Plan & Provider Enumeration System. The contents of Geraldine Jackson M.D. are for informational purposes only.