Individual
JASON WESLOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
PO BOX 480, DAVISON, MI 48423-0480
(810) 653-9060
(810) 664-0315
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901400360
MI
213ES0131X
Foot Surgery Podiatrist
5901400360
MI
Other
Enumeration date
04/19/2017
Last updated
07/13/2023
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