Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Internal Medicine Physician · Jackson, MI

NPI number 1699212803 Active

Practice location

205 N. East Ave, Attn: Provider Enrollment
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
Emergency Medicine Physician 207P00000XNone listed
Internal Medicine Physician Primary 207R00000X1060000044 (MI)
Critical Care Medicine (Internal Medicine) Physician 207RC0200XNone listed
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1699212803

W.a. Foote Memorial Hospital's National Provider Identifier is 1699212803, issued on Jan 25, 2017. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.