SearchMichiganGeriatric Medicine (Family Medicine) Physician

Mark Jackson, MD

NPI 1073585238 · on the registry since 2006 · sole proprietor

Practice

Address
1000 Pavilions Circle
Mark A Jackson Md Plc
Traverse City, MI 49684
Phone
(231) 935-0913
Fax
(231) 935-0984
Organisation at this address
County Of Grand Traverse
Grand Traverse Pavilions
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Geriatric Medicine (Family Medicine) Physician
207QG0300X
Also registered as
Family Medicine Physician
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-23

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