Organization · Type 2 NPI
Jackson Gastroenterology Center, LLC
Ambulatory Surgical Clinic/Center · Jackson, MI
NPI number
1265618904
Active
Practice location
4400 Ann Arbor Road
Jackson, MI 49202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1265618904
Jackson Gastroenterology Center, LLC's National Provider Identifier is 1265618904, issued on Jan 11, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Jackson, MI. The record was last updated on Oct 20, 2008.