Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Surgery Physician · Jackson, MI

NPI number 1649717448 Active

Practice location

205 N. East Ave.
Jackson, MI 49201

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X1060000044 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1649717448

W.a. Foote Memorial Hospital's National Provider Identifier is 1649717448, issued on Jan 31, 2017. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Jackson, MI. The record was last updated on Oct 20, 2026.