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1518995869
CHANKEE PARK
CLINTON TOWNSHIP, MI
NPI
1518995869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 037049)
Enumeration Date
2006-06-28
Last Update Date
2012-02-28
Business Address
-- CHANKEE PARK M.D.
16570 19 MILE RD
CLINTON TOWNSHIP, MI 48038-1106
Phone number: 586-263-7660
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Mailing Address
-- CHANKEE PARK M.D.
16570 19 MILE RD
CLINTON TOWNSHIP, MI 48038-1106
Phone number: 586-263-7660
Copy
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