SearchMichigan101YA0400X

Roderick Jackson, C.P.S.S

NPI 1801120779 · on the registry since 2009 · sole proprietor

Practice

Address
211 Glendale St
Highland Park, MI 48203
Phone
(313) 459-4802
Organisation at this address
Jagneswar Saha Do Pc
Detroit Recovery Project
S.A.Y Detroit Health Clinic
Peggy Richardson-Moore Md Pc
Preferred Medical Professionals, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2009-09-25

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