Search › Michigan › 122300000X
Michael Jack, DDS
NPI 1558453399 · on the registry since 2006
Practice
- Address
- 13403 13 Mile Rd
Warren, MI 48088 - Phone
- (586) 979-2800
- Fax
- (586) 979-2720
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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