Individual
DR. MARK ANTHONY CHESEBRO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
LAKELAND HEALTH-GME 1234 NAPIER AVENUE, SAINT JOSEPH, MI 49085
(269) 982-4941
Mailing address
LAKELAND HEALTH-GME 1234 NAPIER AVENUE, SAINT JOSEPH, MI 49085
(269) 982-4941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151016213
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/20/2023
Last updated
05/15/2023
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