Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN RANDEL, MD
ActiveJACLYN RANDEL, MD is a Addiction Medicine (Family Practice) healthcare provider located in YPSILANTI, Michigan. NPI 1386624591 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · YPSILANTI, MI
Registration Details
- NPI Number
- 1386624591
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2006 (20.590486299036 yrs)
- Last Updated
- Jun 13, 2019
- Licenses
-
4301054205 (MI)4301054205 (MI)
Practice Information
- Address
-
5333 MCAULEY DR RM 5011YPSILANTI, MI, 481971003Browse MI providers · Browse ZIP 48197
- Phone
- 7346225016
- Fax
- 7346225017
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Other Addiction Medicine (Family Practice) Providers in YPSILANTI, MI
| Name | Credential | NPI |
|---|---|---|
| CARL WOODROW CHRISTENSEN | MD | 1598703621 |
| AARON MATTHEW RIVKIN | MD | 1629561063 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.