Organization
LANSING OSTEOPATHIC MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY J CHANDLER D.O. (PHYSICIAN)
(517) 482-1183
Entity
Organization
Contact information
Practice address
4655 DOBIE RD, SUITE 260, OKEMOS, MI 48864-2233
(517) 482-1183
(517) 482-9877
Mailing address
4655 DOBIE RD, SUITE 260, OKEMOS, MI 48864-2233
(517) 482-1183
(517) 482-9877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101006090
MI
261QP2300X
Primary Care Clinic/Center
Primary
5101006090
MI
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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