Individual
JAMES BROWN CHAUNCEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 782-3190
(517) 782-1223
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301044393
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104502969
—
MI
01
—
110185324
RR MEDICARE
MI
Enumeration date
04/26/2006
Last updated
01/15/2009
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