Individual
DR. JASON JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33200 W 14 MILE RD STE 220, WEST BLOOMFIELD, MI 48322-3586
(248) 855-7400
(248) 626-6481
Mailing address
26211 CENTRAL PARK BLVD STE 201, SOUTHFIELD, MI 48076-4158
(833) 667-3627
(248) 327-6144
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301084196
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
4301084196
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001201201
—
MI
05
—
110083527
—
MA
05
—
110083527
—
MI
Enumeration date
05/20/2007
Last updated
04/14/2026
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