Individual
JASON OMAR HOLCOMB
Active
Individual
JASON OMAR HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301080364
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28427
BLUE CROSS
MI
01
—
1699102244
GROUP NPI HENRY FORD WYANDOTTE
—
Enumeration date
03/29/2007
Last updated
06/27/2019
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