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1356837504
CHAZ HERNANDEZ
ANN ARBOR, MI
NPI
1356837504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008856)
Enumeration Date
2018-07-10
Last Update Date
2020-02-14
Business Address
CHAZ HERNANDEZ PA-C
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105-9694
Phone number: 734-995-0308
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Mailing Address
CHAZ HERNANDEZ PA-C
24 FRANK LLOYD WRIGHT DR STE J2000
ANN ARBOR, MI 48105-9484
Phone number: 734-747-6766
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