Individual
JASON JOSEPH GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37799 PROFESSIONAL CENTER DR, SUITE 105, LIVONIA, MI 48154-1153
(734) 464-3251
Mailing address
37799 PROFESSIONAL CENTER DR, SUITE 105, LIVONIA, MI 48154-1153
(734) 464-3251
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
430102640
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/13/2010
Last updated
06/27/2016
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