# MANUEL R CHAVARRI, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013194182
- **Authorized official:** DR. MANUEL R CHAVARRI MD, FACE (OWNER)
- **Authorized official phone:** (989) 657-2925

## Contact information

- **Practice address:** 108 S FIRST AVE, ALPENA, MI 49707-2812
- **Practice address phone:** (989) 354-8500
- **Practice address fax:** (989) 354-8200
- **Mailing address:** 108 S FIRST AVE, ALPENA, MI 49707-2812
- **Mailing address phone:** (989) 354-8500
- **Mailing address fax:** (989) 354-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MC034224 | MI | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 04/02/2012

## 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 |