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Individual

CHAZ HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4200 WHITEHALL DR STE 150, ANN ARBOR, MI 48105-9694
(734) 995-0308
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008856
MI

Other

Enumeration date
07/10/2018
Last updated
02/14/2020
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