Jaclyn Randel in Ypsilanti - Addiction Medicine

Jaclyn Randel - NPI 1386624591

Jaclyn Randel is a Addiction Medicine in Ypsilanti, Michigan. Jaclyn Randel practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jaclyn Randel is 1386624591. The last update date is 2019-06-13.

Jaclyn Randel's current location address is 5333 Mcauley Dr Rm 5011, Ypsilanti, Michigan. You can contact this provider via phone number 7346225016 and fax number 7346225017. The mailing address for Jaclyn Randel is 5333 Mcauley Dr Rm 5011, Ypsilanti, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jaclyn Randel
Address 5333 Mcauley Dr Rm 5011, Ypsilanti, Michigan
Phone Number 7346225016
Fax Number 7346225017
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386624591
Provider Enumeration Date 2006-01-23
Last Updated Date 2019-06-13

Provider Mailing Address Detail

Address 5333 Mcauley Dr Rm 5011
City Ypsilanti
State Michigan (MI)
Post Code 481971003
Phone Number 7346225016
Fax Number 7346225017

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Qa0401X
Licence No 4301054205
Definition:
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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FAQs about Jaclyn Randel

What is the unique 10-digit identification code issued to Jaclyn Randel by the Centers for Medicare & Medicaid Services?

The Jaclyn Randel has been assigned the NPI (National Provider Identifier) 1386624591 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Jaclyn Randel's facilities are geographically located?

The facilities of Jaclyn Randel are physically situated at the following location: 5333 Mcauley Dr Rm 5011, Ypsilanti, MI, 481971003.

What is Jaclyn Randel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jaclyn Randel is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Qa0401X.

When did the Jaclyn Randel receive its 1386624591?

The Jaclyn Randel was issued its 1386624591 on 2006-01-23, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Jaclyn Randel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jaclyn Randel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-13.

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