Jason Dearl Mathis D.C.

NPI 1659537611 - Chiropractor - 111N00000X

NPI Details
NPI 1659537611
Gender Male
Enumeration Date 07/30/2008
Last Updated 07/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
40020 FIVE MILE RD
PLYMOUTH MI, 48170-2764, US
Phone (734) 731-1723
Fax
Business Location
40020 FIVE MILE RD
PLYMOUTH MI, 48170-2764, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Michigan
License Number L1345311
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According to our database, Dr. Jason Dearl Mathis D.C. NPI is 1659537611, taxonomy code is 111N00000X and license number is L1345311, license state is located at Michigan. Jason Dearl Mathis D.C. physically located at 40020 Five Mile Rd, Plymouth MI, 48170-2764. NPI Number Jason Dearl Mathis D.C. has the Individual type.

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1659537611 NPI number is provided on an as is basis without warranty of any kind. 1659537611 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Dearl Mathis D.C. are for informational purposes only.