Search › Michigan › 106S00000X
Marquice Jackson
NPI 1013712496 · on the registry since 2025
Practice
- Address
- 1070 W Houghton Lake Dr
Prudenville, MI 48651 - Phone
- (989) 272-3073
- Clinicians at this address
- 139
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan