Geraldine Jackson, M.D.
Obstetrics & Gynecology in Dearborn, MI. Individual provider (NPI-1).
NPI number1083781454
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083781454
- Entity type
- Individual (NPI-1)
- Name
- Geraldine Jackson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 056010 | MI | Yes |
Practice location
Henry Ford Health System19401 Hubbard Drive
Dearborn, MI 48126
Phone 313-982-8330 · Fax 313-982-8294
Mailing address
Henry Ford Health System19401 Hubbard Drive
Dearborn, MI 48126
Phone 313-982-8330
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All 65 Obstetrics & Gynecology Physician providers in Dearborn · All 7,276 providers in Dearborn
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