Individual
THOMAS AUSTIN CHAPEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2814 MONROE, DEARBORN, MI 48124
(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
4301028121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708270491
BLUE CROSS BLUE SHIELD &
MI
01
—
C2537
M CARE
MI
Enumeration date
03/20/2006
Last updated
07/08/2007
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