Individual provider · Type 1 NPI

Jaclyn Randel, MD

Addiction Medicine (Family Medicine) Physician · Ypsilanti, MI

NPI number 1386624591 Active

Practice location

5333 Mcauley Dr Rm 5011
Ypsilanti, MI 48197-1003

Fax (734) 622-5017

Mailing address

24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI 48105-9484

Other practice locations

  • 2001 S Merriman Rd, Suite 100, Westland, MI 48186-5539 · (734) 727-1000
  • 4200 Whitehall Dr Ste 250, Ann Arbor, MI 48105 · (734) 622-5016

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X4301054205 (MI)
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X4301054205 (MI)

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

7 other providers at this address

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About NPI 1386624591

Jaclyn Randel, MD's National Provider Identifier is 1386624591, issued on Jan 23, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Ypsilanti, MI. The record was last updated on Jun 13, 2019.