Jackson OB/GYN

Specialist · Jackson, MI

Organization Active NPI

NPI number 1083679971

Practice location

300 W Washington Ave
Ste 60
Jackson, MI 49201-2180
Phone
(517) 787-0334
Fax
(517) 787-2114

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NPI record

NPI
1083679971
Entity type
Organization (Type 2)
Enumeration date
April 20, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X MM012522 MI

Authorized official

Name
Dr. Michael McDonnell, D.O.
Title
Owner
Phone
(517) 787-0334

About Jackson OB/GYN

Jackson OB/GYN is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 300 W Washington Ave, Ste 60, Jackson, MI 49201-2180. The NPI number 1083679971 was assigned on April 20, 2006 and the record was last updated on August 22, 2020.

Jackson OB/GYN lists a license in the registry: #MM012522 (MI) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Michael McDonnell, D.O., Owner.

Frequently asked questions

What is the NPI number of Jackson OB/GYN?

The NPI number is 1083679971.

What is the phone number of Jackson OB/GYN?

The phone number listed for the practice location is (517) 787-0334.

Where is Jackson OB/GYN located?

300 W Washington Ave, Ste 60, Jackson, MI 49201-2180.

What is the taxonomy code for Jackson OB/GYN?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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