Individual
JASON EDWARD POSTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12660 TEN MILE RD # 2A, SOUTH LYON, MI 48178-9141
(810) 895-4070
(833) 972-1137
Mailing address
12660 TEN MILE RD # 2A, SOUTH LYON, MI 48178-9141
(810) 895-4070
(833) 972-1137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H24978
BLUE CROSS BLUE SHIELD
MI
05
—
4244327
—
MI
01
—
CG4894
MEDICARE RAILROAD
MI
Enumeration date
06/28/2006
Last updated
06/18/2025
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