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Individual

GARRETT DONALD CHANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
10743 OAK LN APT 16316, VAN BUREN TWP, MI 48111-4757
(734) 716-3845
Mailing address
10743 OAK LN APT 16316, VAN BUREN TWP, MI 48111-4757
(734) 716-3845

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010630
MI

Other

Enumeration date
07/21/2021
Last updated
07/21/2021
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