NPI 1629496237 · live from the CMS NPI Registry
Chase Bradley Ansok, M.D.
Orthopaedic Surgery in Detroit, MI. National Provider Identifier 1629496237, active.
NPI record
| NPI | 1629496237 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 311 Mack Ave, Detroit, MI 48201 |
| Practice phone | 313-832-0500 |
| Mailing address | 311 Mack Ave Fl 5, Detroit, MI 48201 |
| Enumerated | April 1, 2014 |
| Last updated | July 21, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 297701 (NY) |
| Orthopaedic Surgery primary | 207X00000X | 4301502153 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.