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Ian Jackson, M.D
NPI 1598084691 · on the registry since 2010
Practice
- Address
- 5515 Cleveland Ave
Stevensville, MI 49127 - Phone
- (269) 429-9644
- Fax
- (269) 429-4002
- Organisation at this address
- Lakeland Medical Practices
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
Family Medicine Physician
Family Medicine Physician - Licence states on file
- TN, KY, TX, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-04
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