Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Neurological Surgery Physician · Jackson, MI

NPI number 1396282356 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X1060000044 (MI)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1396282356

W.a. Foote Memorial Hospital's National Provider Identifier is 1396282356, issued on Jan 27, 2017. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.