Individual
CHRISTOPHER A CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 523-3160
Mailing address
600 EAST BLVD, ATTN ER DEPT, ELKHART, IN 46514-2483
(574) 523-3160
(574) 523-3221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01078314A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300002322
—
IN
Enumeration date
06/12/2014
Last updated
07/21/2022
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