Individual provider · NPI-1

Dr. Jerry J Chandler, D.O.

Family Medicine · Okemos, MI

NPI number1376629287
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1376629287
Entity type
Individual (NPI-1)
Name
Dr. Jerry J Chandler
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5101006090MIYes

Practice location

2248 Mount Hope Rd
Ste. 100
Okemos, MI 48864-2501

Phone 517-482-1183 · Fax 517-482-9877

Mailing address

2248 Mount Hope Rd
Ste. 100
Okemos, MI 48864-2501

Phone 517-482-1183 · Fax 517-482-9877

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