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Contact Information

LANCE R CHALDECOTT, MD
2070 BIDDLE AVE
SUITE 200
WYANDOTTE, MI48192-4080
 Phone: 734-225-9100
 Fax: 734-225-9100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LANCE R CHALDECOTT · (Male)

NPI Number 1669443552
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2006
Last updated 02/21/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301061724
  • MI Medicaid 104481368
  • MI Other 0H28427 BLUE CROSS
  • MI Other 1699102244 GROUP NPI HENRY FORD WYANDOTTE
Hospital affiliation(s)
  • HENRY FORD WYANDOTTE HOSPITAL - (Acute Care)
    2333 BIDDLE AVE
    WYANDOTTE, MI 48192
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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