Individual
JASON HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012469
MI
Other
Enumeration date
11/27/2023
Last updated
07/12/2024
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