Individual
DR. JASON PETER FADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 MCAULEY DR, R-2115, YPSILANTI, MI 48197-1014
(734) 712-7352
Mailing address
4685 CENTRAL BLVD, ANN ARBOR, MI 48108-1351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301081926
MI
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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