Search › Michigan › 101YA0400X
Altrosius Jackson
NPI 1659585065 · on the registry since 2007
Practice
- Address
- 8809 John C. Lodge
Detroit, MI 48202 - Phone
- (313) 887-6749
- Fax
- (313) 876-0532
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Female
- 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