Provider Demographics
NPI:1558554998
Name:RAMOS, JASON R (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:R
Last Name:RAMOS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:46401 ROMEO PLANK RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-3510
Mailing Address - Country:US
Mailing Address - Phone:586-226-8600
Mailing Address - Fax:586-226-8686
Practice Address - Street 1:46401 ROMEO PLANK RD
Practice Address - Street 2:SUITE 4
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-3510
Practice Address - Country:US
Practice Address - Phone:586-226-8600
Practice Address - Fax:586-226-8686
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2012-11-19
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Provider Licenses
StateLicense IDTaxonomies
MI4301086387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine