Individual
JASON ROBERT SHANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30200 TELEGRAPH RD, BINGHAM FARMS, MI 48025-4502
(248) 712-1129
(248) 792-3249
Mailing address
19875 BUTTERNUT LN, SOUTHFIELD, MI 48076-1795
(248) 302-4988
(248) 569-9410
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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