Individual
JASON JERARD HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB, BCH, BAO
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301081206
MI
207R00000X
Internal Medicine Physician
Primary
4301081206
MI
208M00000X
Hospitalist Physician
4301081206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275513624
—
MI
05
—
4782853
—
MI
01
—
CA2184
RAILROAD MEDICARE
MI
Enumeration date
01/20/2006
Last updated
09/24/2025
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