Organization
JEFFREY K CHAULK MD PC
Active
Other names
Alpine Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY K CHAULK MD (OWNER)
(989) 732-6455
Entity
Organization
Contact information
Practice address
1200 N DOWN RIVER RD, GRAYLING, MI 49738
(989) 348-8689
(989) 348-6462
Mailing address
PO BOX 1665, GAYLORD, MI 49734-5665
(989) 732-6455
(989) 732-1102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003939
MI
152W00000X
Optometrist
4901004074
MI
207W00000X
Ophthalmology Physician
4301081575
MI
207W00000X
Ophthalmology Physician
Primary
4301405077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3038306
—
MI
Enumeration date
09/25/2007
Last updated
02/26/2008
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