person
Jason Maxa, PA
Medical Physician Assistant in Saginaw, Michigan
NPI 1093778185

Jason Maxa is a Medical Physician Assistant based in Saginaw, MI and is specialized in Medical. Jason Maxa practices in Saginaw, MI and has the professional credentials of PA. The NPI Number for Jason Maxa is 1093778185 and holds a License No. 5601004158 (Michigan).

The current practice location address for Jason Maxa is 900 Cooper Ave, Saginaw, MI and can be reached out via phone at 989-583-7450 and via fax at 989-583-7452.

Location: 900 Cooper Ave, Saginaw, MI, 48602-4727
person
Provider Profile Details
NPI Number
1093778185
Provider Name
Jason Maxa
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
900 Cooper Ave, Saginaw, MI, 48602-4727
Phone Number
989-583-7450
Fax Number
989-583-7452
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00256268 01 MI RAILROAD MEDICARE
1093778185 05 MI
5731169 01 MI BCBSM PIN
institution
Provider Business Practice Location Address Details
Address
900 Cooper Ave
City
State
Zip
48602-5182
Phone Number
989-583-7450
Fax Number
989-583-7452
person
Provider Business Mailing Address Details
Address
900 Cooper Ave
City
State
Zip
48602-5182
Phone Number
989-583-7450
Fax Number
989-583-7452
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601004158 (Michigan)
Definition
Definition to come...
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