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Dr. Jason Porter Hogaboam, DO
Family Medicine Physician in Grosse Pointe Woods, Michigan
NPI 1770847139

Jason Porter Hogaboam is a Family Medicine Physician based in Troy, MI. Jason Porter Hogaboam practices in Grosse Pointe Woods, MI and has the professional credentials of DO. The NPI Number for Jason Porter Hogaboam is 1770847139 and holds a License No. 5101019788 (Michigan).

The current practice location address for Jason Porter Hogaboam is 20599 Mack Ave, Grosse Pointe Woods, MI and can be reached out via phone at 517-279-5400.

Location: 20599 Mack Ave, Grosse Pointe Woods, MI, 48085-1643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770847139
Provider Name
Jason Porter Hogaboam
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
20599 Mack Ave, Grosse Pointe Woods, MI, 48085-1643
Phone Number
517-279-5400
Fax Number
Provider Enumeration Date
07/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A26570059 01 MI MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
20599 Mack Ave
City
Grosse Pointe Woods
State
Michigan
Zip
48236-1656
Phone Number
517-279-5400
Fax Number
person
Provider Business Mailing Address Details
Address
20599 Mack Ave
City
Grosse Pointe Woods
State
Michigan
Zip
48236-1656
Phone Number
517-279-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101019788 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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