Individual
DR. JASON WAYNE ROBERTS
Active
Individual
DR. JASON WAYNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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