Individual
SCOTT JUDE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
565 CRESTWOOD DR, GAYLORD, MI 49735-9133
(989) 731-1277
Mailing address
565 CRESTWOOD DR, GAYLORD, MI 49735-9133
(989) 731-1277
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704167548
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4327488
—
MI
Enumeration date
05/30/2006
Last updated
04/09/2020
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