Individual
MR. JOSEPH CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3378 FASHION SQUARE BLVD, SAGINAW, MI 48603-2448
(989) 272-7610
Mailing address
2400 DARWIN LN, SAGINAW, MI 48603-3456
(713) 398-6514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704262115
MI
Other
Enumeration date
03/14/2013
Last updated
07/30/2019
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