Individual
DALE J CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7164 RAPID CITY RD NW, RAPID CITY, MI 49676-8419
(231) 331-4062
(231) 331-4735
Mailing address
7164 RAPID CITY RD NW, RAPID CITY, MI 49676-8419
(231) 331-4062
(231) 331-4735
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704187093
MI
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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