Individual
JOHANNA CHAPEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2814 MONROE ST, DEARBORN, MI 48124-3473
(313) 561-5311
(313) 561-2504
Mailing address
PO BOX 2580, DEARBORN, MI 48123-2580
(313) 561-5311
(313) 561-2504
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301039442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708223081
BCBS
MI
Enumeration date
02/17/2006
Last updated
07/08/2007
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