Individual
DR. JASON ANDREW ROLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4160 JOHN R ST, SUITE 615, DETROIT, MI 48201-2020
(313) 745-4195
(313) 993-8669
Mailing address
4160 JOHN R ST, SUITE 615, DETROIT, MI 48201-2020
(313) 745-4195
(313) 993-8669
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
4301099790
MI
208600000X
Surgery Physician
Primary
4301099790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245497478
—
MI
Enumeration date
05/16/2008
Last updated
06/09/2017
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