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Individual
JASON M EVANS
Active
Individual
JASON M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301079430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993281
HEALTHPLUS OF MICHIGAN
MI
01
—
1004892
MCLAREN HEATLHPLAN
MI
01
—
11270
MCARE
MI
01
—
6U4056
HAP
MI
Enumeration date
06/08/2006
Last updated
07/13/2026
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