Individual
DR. JASON WAYNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE M424, KALAMAZOO, MI 49007-5341
(269) 349-3350
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-8419
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45990-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104997287
—
MI
01
—
1417961137
BCBSM - BMH
MI
01
—
2003908241
BCBS
MI
Enumeration date
11/13/2006
Last updated
11/27/2023
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