Individual
DR. JERRY J CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2248 MOUNT HOPE RD, STE. 100, OKEMOS, MI 48864-2501
(517) 482-1183
(517) 482-9877
Mailing address
2248 MOUNT HOPE RD, STE. 100, OKEMOS, MI 48864-2501
(517) 482-1183
(517) 482-9877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112119
—
MI
Enumeration date
10/31/2006
Last updated
07/08/2007
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