Individual
JASON M HAFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 ORCHARD LAKE RD STE 300, WEST BLOOMFIELD, MI 48322-3405
(248) 539-9036
(248) 539-9267
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301089630
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01007605
HEALTH PLUS
MI
01
—
7828814
AETNA
MI
01
—
I68437
HAP
MI
01
—
P00419406
RAILROAD MEDICARE
MI
Enumeration date
01/18/2007
Last updated
10/22/2020
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