Individual
DR. JASON DEARL MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
40020 FIVE MILE RD, PLYMOUTH, MI 48170-2764
(734) 731-1723
Mailing address
40020 FIVE MILE RD, PLYMOUTH, MI 48170-2764
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
L1345311
MI
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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