Individual
MISS JANICE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4945 SCHAEFER RD, DEARBORN, MI 48126-3251
(313) 581-0744
Mailing address
439 S MAIN ST, 160, ROCHESTER, MI 48307-6704
(248) 453-5172
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
L1179962
MI
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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