Individual
JASON ALEXANDER WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, 3RD FLOOR TAUBMAN CENTER RECP C, ANN ARBOR, MI 48109-5364
(734) 936-5548
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-01064
NC
207R00000X
Internal Medicine Physician
4301105871
MI
207RN0300X
Nephrology Physician
Primary
4301105871
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2010
Last updated
07/21/2022
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