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Organization
MANUEL R CHAVARRI, MD, PLLC
Active
Organization
MANUEL R CHAVARRI, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL R CHAVARRI MD, FACE (OWNER)
(989) 657-2925
Entity
Organization
Contact information
Practice address
108 S FIRST AVE, ALPENA, MI 49707-2812
(989) 354-8500
(989) 354-8200
Mailing address
108 S FIRST AVE, ALPENA, MI 49707-2812
(989) 354-8500
(989) 354-8200
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MC034224
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P56870
MEDICARE PTAN
MI
01
—
1033102132
PERSONAL NPI FOR MANUEL R. CHAVARRI, MD, FACE
MI
01
—
1100410341
BCBSM INDIVIDUAL #
MI
01
—
1100410711
BCBSM NEW PIN
MI
05
—
1923054
—
MI
01
—
MC034224
STATE MEDICAL LICENSE
MI
Enumeration date
01/30/2008
Last updated
04/02/2012
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