Search › Michigan › 207WX0107X
Jason So, MD
NPI 1801282249 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2848 Niles Rd
Saint Joseph, MI 49085 - Phone
- (269) 428-3300
- Organisation at this address
- Great Lakes Eye Care Pc
Great Lakes Surgery Center Llc
Lakeshore Anesthesia Staffing LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 120 Longmeadow Village Dr, Niles, MI
- 3550 Park Pl W Ste 200, Mishawaka, IN
Registry record
- Primary taxonomy
- 207WX0107X
207WX0107X
- Also registered as
- 207WX0107X
207WX0107X - Licence states on file
- LA, IN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan