Individual
DR. GARY CHODOROFF
Active
Individual
DR. GARY CHODOROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
GC046805
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0633719
BLUE CARE NETWORK
MI
01
—
101420
PREFERRED CHOICE
MI
01
—
1106337
BLUE CROSS BLUE SHIELD
MI
01
—
250F334790
BLUE CROSS BLUE SHIELD
MI
01
—
4052753
AETNA
MI
01
—
49558
HAP THRU PROVIDENCE
MI
01
—
C3352
MCARE
MI
Enumeration date
07/16/2006
Last updated
10/13/2011
Update your record
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