Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Surgical Critical Care Physician · Jackson, MI

NPI number 1306386586 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0002

Specialties and licenses

TaxonomyCodeLicense
Surgical Critical Care Physician Primary 2086S0102X1060000044 (MI)

Surgical Critical Care Physician: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care…

620 other providers at this address

About NPI 1306386586

W.a. Foote Memorial Hospital's National Provider Identifier is 1306386586, issued on Mar 7, 2017. The primary taxonomy on file is Surgical Critical Care Physician (2086S0102X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.