Organization · Type 2 NPI

W.a. Foote Memorial Hospital, Inc

Hematology (Internal Medicine) Physician · Jackson, MI

NPI number 1043757909 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 67000, Department 272801
Detroit, MI 48267

Specialties and licenses

Taxonomy	Code	License
Hematology (Internal Medicine) Physician Primary	207RH0000X	1060000044 (MI)

Hematology (Internal Medicine) Physician: An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

42 other providers at this address

Other hematology (internal medicine) physician providers in Jackson

Center for Hematology-Oncology of S. MichiganHematology (Internal Medicine) Physician Jackson, MI NPI 1396833687

See all in Jackson →

NPI record

NPI: 1043757909
Entity type: Organization (Type 2)
Issued: Jan 30, 2017
Last updated: Jan 30, 2017
Status: Active
Subpart: Yes of Henry Ford Allegiance Health Group

Other names

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Henry Ford Allegiance Health · former legal business name

Authorized official

Kevin Leonard
VP Finance
(517) 841-7843

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043757909

W.a. Foote Memorial Hospital, Inc's National Provider Identifier is 1043757909, issued on Jan 30, 2017. The primary taxonomy on file is Hematology (Internal Medicine) Physician (207RH0000X), and the practice location is in Jackson, MI. The record was last updated on Jan 30, 2017.