Individual
JASON W PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
49640 CUMBERLAND DR, MACOMB, MI 48044-1812
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704301079
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704301079
MI
Other
Enumeration date
03/12/2020
Last updated
06/18/2021
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