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Individual

DR. JASON CLEMENT WHATELEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1135 W UNIVERSITY DR STE 225, ROCHESTER, MI 48307-1890
(248) 824-2570
(248) 824-2571
Mailing address
1135 W UNIVERSITY DR STE 225, ROCHESTER, MI 48307-1890
(248) 824-2570
(248) 824-2571

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5315046405
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518120195
MI
Enumeration date
07/03/2008
Last updated
12/13/2017
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