| Doctor Name: | DR. DANIEL J JACKSON |
| NPI Number: | 1003823923 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 50473 |
| Business Practice Address: | 600 Highland Ave Csc Box 9988 Madison, WI - 537920001 |
| Business Phone Number: | 6082393515 |
| Business Fax Number: | |
| Mailing Address: | 7974 Uw Health Court, MIDDLETON |
| State: | WI |
| Postal Code: | 535625531 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 05/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0201X |
| License Number: | 50473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Allergy/Immunology |
| Taxonomy Definition: | A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |