Individual
DR. RICHARD CHESBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301061009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024867
MIDWEST HEALTH PLAN
—
01
—
300F334820
BCBS OF MICHIGAN
MI
Enumeration date
05/06/2006
Last updated
04/03/2014
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