IndividualActive
Jaclyn Randel, MD
NPI 1386624591 · Addiction Medicine (Family Medicine) Physician · Ypsilanti, MI
Provider details
- NPI number
- 1386624591
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301054205 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5333 Mcauley Dr Rm 5011
Ypsilanti, MI 48197-1003
Phone: (734) 622-5016
Fax: (734) 622-5017
Approximate (ZIP-level) locationGet directions
Mailing address
24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI 48105-9484
Additional practice locations (2)
- 4200 Whitehall Dr Ste 250Ann Arbor, MI 48105Phone: (734) 622-5016Fax: (734) 622-5017
- 2001 S Merriman RdSuite 100Westland, MI 48186-5539Phone: (734) 727-1000
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2019-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.