Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Otolaryngology Physician · Jackson, MI

NPI number 1255878062 Active

Practice location

205 N.east Ave
Jackson, MI 49201

Fax (517) 841-7843

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000XNone listed
Otolaryngology Physician Primary 207Y00000X1060000044 (MI)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1255878062

W.a. Foote Memorial Hospital's National Provider Identifier is 1255878062, issued on Jan 31, 2017. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.