Individual
MCKENZIE CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3370 E JEFFERSON AVE, DETROIT, MI 48207-4236
(313) 656-1600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(586) 777-2050
(586) 777-2189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301518108
MI
207Q00000X
Family Medicine Physician
4350150553
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4350150553
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
06/12/2026
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