Organization
CHELSEA MEDICINE AND LASER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA K ETUE (BILLER)
(517) 937-1980
Entity
Organization
Contact information
Practice address
1620 COMMERCE PARK DR, SUITE 100, CHELSEA, MI 48118-2137
(734) 475-2921
(734) 475-2945
Mailing address
1620 COMMERCE PARK DR, SUITE 100, CHELSEA, MI 48118-1634
(734) 475-2921
(734) 475-2945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101012799
MI
207R00000X
Internal Medicine Physician
Primary
4301052421
MI
207R00000X
Internal Medicine Physician
4301090868
MI
Other
Enumeration date
02/07/2007
Last updated
10/29/2014
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