Individual
VICTOR L CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6545 HIGHVIEW ST, DEARBORN HEIGHTS, MI 48127-2126
(313) 277-0663
Mailing address
6545 HIGHVIEW ST, DEARBORN HEIGHTS, MI 48127
(313) 277-0663
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
Primary
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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