Individual
JASON S. DILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301079310
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JD079310
CHAMPUS-CHAMPUS
—
Enumeration date
12/08/2006
Last updated
07/08/2007
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