Individual
DR. CORI DANIELLE CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(586) 263-2614
Mailing address
13128 BORGMAN AVE, HUNTINGTON WOODS, MI 48070-1004
(313) 595-2354
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BM 25495099760
MI
Other
Enumeration date
02/11/2011
Last updated
06/13/2011
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