Individual
JASON MAXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
900 COOPER AVE, SUITE 3100, SAGINAW, MI 48602-5182
(989) 583-7450
(989) 583-7452
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2794
(989) 583-2829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093778185
—
MI
01
—
5731169
BCBSM PIN
MI
01
—
P00256268
RAILROAD MEDICARE
MI
Enumeration date
04/10/2006
Last updated
09/11/2025
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