Individual
JASON DANIEL NOSRATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD STE 416, SOUTHFIELD, MI 48075-4818
(248) 849-8441
(248) 849-5324
Mailing address
16001 W 9 MILE RD STE 416, SOUTHFIELD, MI 48075-4818
(248) 849-8441
(248) 849-5324
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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