Individual
DR. JONATHAN EDWARD PASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 N MACOMB ST, SUITE# 324, MONROE, MI 48162-2900
(734) 242-2440
(734) 457-3622
Mailing address
730 N MACOMB ST, SUITE# 324, MONROE, MI 48162-2900
(734) 242-2440
(734) 457-3622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301068355
MI
208000000X
Pediatrics Physician
4301068355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4632382
—
MI
Enumeration date
05/11/2006
Last updated
05/28/2014
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