Organization · Type 2 NPI

Wa Foote Memorial Hospital

Obesity Medicine (Internal Medicine) Physician · Jackson, MI

NPI number 1700355195 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Fax (517) 803-2133

Mailing address

PO Box 670884
Detroit, MI 48267-2728

Specialties and licenses

TaxonomyCodeLicense
Obesity Medicine (Family Medicine) Physician 207QB0002XNone listed
Obesity Medicine (Internal Medicine) Physician Primary 207RB0002XNone listed
Obesity Medicine (Psychiatry & Neurology) Physician 2084B0002XNone listed
Surgery Physician 208600000XNone listed

Obesity Medicine (Internal Medicine) Physician: A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilize…

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About NPI 1700355195

Wa Foote Memorial Hospital's National Provider Identifier is 1700355195, issued on Nov 15, 2018. The primary taxonomy on file is Obesity Medicine (Internal Medicine) Physician (207RB0002X), and the practice location is in Jackson, MI. The record was last updated on Oct 20, 2026.