Individual
DR. JEFFREY MICHAEL CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
325 M-55 EAST, TAWAS CITY, MI 48763
(989) 362-2754
(989) 362-6231
Mailing address
325 M-55 EAST, TAWAS CITY, MI 48763
(989) 362-2754
(989) 362-6231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3473906
—
MI
Enumeration date
07/03/2006
Last updated
11/22/2022
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