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Individual

JOHN M CHADWICK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 CAPITAL AVE NE, BATTLE CREEK, MI 49017-3926
(269) 968-1654
(269) 968-0760
Mailing address
5813 BAUMAN RD, BATTLE CREEK, MI 49017-9718
(269) 968-1291

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036575
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2100337
MI
Enumeration date
07/12/2005
Last updated
07/08/2007
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