Individual
DR. CHASE BRADLEY ANSOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 MACK AVE, DETROIT, MI 48201-2466
(313) 832-0500
(313) 966-8400
Mailing address
311 MACK AVE FL 5, DETROIT, MI 48201-2466
(313) 832-0500
(313) 966-8400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
297701
NY
207X00000X
Orthopaedic Surgery Physician
Primary
4301502153
MI
Other
Enumeration date
04/01/2014
Last updated
07/21/2020
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