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Individual

JERI CHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
3860 BACON AVE, BERKLEY, MI 48072-1178

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704303915
MI

Other

Enumeration date
01/04/2022
Last updated
01/04/2022
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