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

Jackson OB/GYN

Organization Specialist · NPI 1083679971

Jackson OB/GYN is a Specialist in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

300 W Washington Ave Ste 60
Jackson, MI 49201-2180
Phone: (517) 787-0334
Fax: (517) 787-2114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MM012522 (MI)

Record details

NPI number1083679971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael McDonnell — Owner · (517) 787-0334
NPI enumeratedApril 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address300 W Washington Ave, Ste 60, Jackson, MI 49201-2180

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