Jaclyn Randel
Family Doctor Family Doctor - Addiction Medicine
5333 Mcauley Dr Rm 5011
Ypsilanti
, Michigan 48197-1003
Jaclyn Randel
Family Doctor Family Doctor - Addiction Medicine
5333 Mcauley Dr Rm 5011
Ypsilanti
, Michigan 48197-1003
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Jaclyn Randel
- 24 Frank Lloyd Wright Dr Lbby J2000
- Ann Arbor, MI
- Zip : 48105-9484
- Phone :
Second Address
- Jaclyn Randel
- 5333 Mcauley Dr Rm 5011
- Ypsilanti, MI
- Zip : 48197-1003
- Fax : (734) 622-5017
- Phone : (734) 622-5016
Reviews
FAQs
Where did Jaclyn Randel attend graduate school?
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What type of doctor is Jaclyn Randel
In what state does Jaclyn Randel practice in?
Where is Jaclyn Randel ’s practice located?
What is Jaclyn Randel ’s gender?
Is Jaclyn Randel a sole practitioner?
Is Jaclyn Randel accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 4301054205 | MI |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 4301054205 | MI |
National Provider Identifier
| NPI | 1386624591 |
|---|---|
| Provider Name | Jaclyn Randel |
| First Address | Ann Arbor, MI 48105-9484 |
| Second Address | Ypsilanti, MI 48197-1003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2006 |
| Last Update Date | 13/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F39394 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.