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

Dr. Jack William Hirsch, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720776412

Dr. Jack William Hirsch, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351050903 (MI)

Record details

NPI number1720776412
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateApril 29, 2023
Mailing address205 N East Ave, Jackson, MI 49201-1753

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