Individual
MR. JASON JAMES KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4970 RAILROAD ST, ELKTON, MI 48731
(989) 375-2214
(989) 375-2175
Mailing address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-5210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301080900
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4831635
—
MI
Enumeration date
05/23/2006
Last updated
11/05/2007
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