Individual
DAVID E CHALUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 49085-9151
(269) 985-1000
(269) 983-3181
Mailing address
3950 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9159
(269) 985-1000
(269) 983-1627
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003437
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M95350
GROUP MEDICARE PIN
—
Enumeration date
04/10/2007
Last updated
03/12/2019
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