Search › Michigan › 374U00000X
Martez Jackson
NPI 1972310613 · on the registry since 2024 · sole proprietor
Practice
- Address
- 721 W Saginaw St
Lansing, MI 48915 - Phone
- (313) 355-2829
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan