Individual
JASON MICHAEL AUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
(616) 391-6243
(616) 391-8611
Mailing address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
(616) 391-6243
(616) 391-8611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351048020APP21
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2021
Last updated
05/31/2022
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