Individual
DR. JASON WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
912 E GRAND RIVER AVE, PORTLAND, MI 48875-1664
(517) 647-7585
Mailing address
912 E GRAND RIVER AVE, PORTLAND, MI 48875-1664
(517) 647-7585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009498
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301009498
LICENSE NUMBER
MI
Enumeration date
10/02/2008
Last updated
07/31/2013
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