Search › Minnesota › 208100000X
Michael Jackson, M.D
NPI 1659590735 · on the registry since 2007 · sole proprietor
Practice
- Address
- 205 Wabasha St S
Saint Paul, MN 55107 - Phone
- (952) 967-5584
- Organisation at this address
- Group Health, Inc.
Group Health, Inc.
Group Health Plan Inc
Group Health Plan IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 104
Additional practice sites
- 2910 Westown Pkwy Ste 200, West Des Moines, IA
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 208100000X
- Licence states on file
- IA, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-16
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 Minnesota