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Organization

GRATIOT FAMILY PRACTICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICKI E CHESSIN M.D. (MEDICAL PHYSCIAN)
(989) 463-3101
Entity
Organization

Contact information

Practice address
160 E WARWICK DR, ALMA, MI 48801-1010
(989) 463-3101
Mailing address
160 E WARWICK DR, ALMA, MI 48801-1010
(989) 463-3101
(989) 463-2824

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3822220235
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1318641
MI
05
1336031
MI
05
2772212
MI
05
4600404
MI
Enumeration date
08/01/2006
Last updated
06/19/2009
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