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CHAYTON GERALD FIVECOAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3990 JOHN R ST STE 615, DETROIT, MI 48201-2018
(313) 745-4195
(313) 993-8669
Mailing address
19998 TWIN POND DR, BROWNSTOWN TWP, MI 48183-1167
(734) 307-4134

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351054709
MI

Other

Enumeration date
04/10/2025
Last updated
11/05/2025
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