Individual
CHRISTOPHER LANEY-JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1115
(248) 704-3450
Mailing address
955 CAMPUS DR N, WATERFORD, MI 48328-2754
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0
MI
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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