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

Jack Lee Nettleton, MD

Individual provider Radiation Oncology Physician · NPI 1174523575

Jack Lee Nettleton, MD is a Radiation Oncology Physician in Flint, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
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

4100 Beecher Rd Ste A
Flint, MI 48532-3661
Phone: (810) 342-3800
Fax: (810) 342-3784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence JN047780 (MI)

Record details

NPI number1174523575
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESOctober 6, 2009
Mailing addressPo Box 1236, Grand Blanc, MI 48480-3236

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