Individual
MANUEL CHAVARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
346 LONG RAPIDS PLZ, ALPENA, MI 49707-1374
(989) 358-3500
Mailing address
1035 W WASHINGTON AVE, ALPENA, MI 49707-2929
(989) 358-0673
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301034224
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110026567
RR MEDICARE
MI
01
—
1100410341
BCBSM INDIVIDUAL #
MI
01
—
1100410711
BCBSM NEW PIN
MI
05
—
1923054
—
MI
01
—
MC034224
STATE LICENSE
MI
01
—
P5687001
MEDICARE PTAN
MI
Enumeration date
08/24/2005
Last updated
02/22/2021
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