Most Relevant Information
Provider Data
| NPI Number: | 1003823923 |
| Provider Name: | DANIEL J JACKSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2080P0201X |
| Specialty: | Pediatrics |
| License Number: | 50473 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 02/01/2021 |
Provider Practice Location
600 HIGHLAND AVE
CSC BOX 9988
MADISON
WI
537920001
Practice Location Phone/Fax
| Phone: | 6082393515 |
| Fax: |
Provider Mailing Location
7974 UW HEALTH COURT
MIDDLETON
WI
535625531
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |