JEFFREY K CHAULK MD PC
Medical Practice in Gaylord, MI

License number
Michigan 4901004074
Category
Optometry
Type
Optometrist
License number
Michigan 4901003939
Category
Optometry
Type
Optometrist
License number
Michigan 4301405077
Category
Medical Practice
Type
Ophthalmology
License number
Michigan 5101016992
Category
Medical Practice
Type
Ophthalmology
Owner
Name: JEFFREY K CHAULK M.D.
Title: OWNER
Phone: (989) 732-6455
Address
Address
350 W St NORTH, Gaylord, MI 49735
National Provider ID: 1215065727
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JEFFREY K. CHAULK, M.D., PC

Gaylord, MI

Registration:
Feb 7, 1994
Addresses:
350 N St, Gaylord, MI 49735 (Physical)
PO Box 1665, Gaylord, MI 49734 (Mailing)
State ID:
078245
Business type:
Domestic Professional Service Corporation
Agent:
Jeffrey K Chaulk Md

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