| Jackson Family Medical Pllc | |
|
724 W Franklin St Jackson MI 49201-2008 | |
| (517) 784-3100 | |
| (517) 784-3200 |
| Full Name | Jackson Family Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 724 W Franklin St, Jackson, Michigan |
| Authorized Official Name and Position | Gary Laverne Lynd (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5177843100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Medical Pllc 724 W Franklin St Jackson MI 49201-2008 Ph: (517) 784-3100 | Jackson Family Medical Pllc 724 W Franklin St Jackson MI 49201-2008 Ph: (517) 784-3100 |
| NPI Number | 1013167444 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 07/19/2012 |
| Medicare PECOS PAC ID | 2668633587 |
|---|---|
| Medicare Enrollment ID | O20120419000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013167444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary L Lynd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235127184 PECOS PAC ID: 9133187834 Enrollment ID: I20050720000187 |
| Provider Name | Gary Mikesell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205884715 PECOS PAC ID: 7911933809 Enrollment ID: I20060620000032 |
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