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Individual

DR. ANNE M. NACHAZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
25511 LITTLE MACK AVE, SUITE A, ST CLAIR SHORES, MI 48081-3372
(586) 774-2020
(586) 774-3169
Mailing address
25511 LITTLE MACK AVE, SUITE A, ST CLAIR SHORES, MI 48081-3372
(586) 774-2020
(586) 774-3169

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301404848
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1805012611
BCBS OF MICHIGAN
Enumeration date
09/21/2005
Last updated
09/11/2007
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