Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian T. Jackson, MD

Organization Medical Specialty Clinic/Center · NPI 1649310632

Ian T. Jackson, MD is a Medical Specialty Clinic/Center in Novi, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

26850 Providence Pkwy Ste 205
Novi, MI 48374-1213
Phone: (248) 465-5300
Fax: (248) 465-5301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1649310632
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ian Jackson — Physicandirector · (248) 465-5300
NPI enumeratedFebruary 7, 2007
Last updated in NPPESMarch 22, 2010
Mailing address26850 Providence Pkwy, Ste 205, Novi, MI 48374-1213

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