Individual
DR. RICHARD CHESBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32100 TELEGRAPH RD STE 107, BINGHAM FARMS, MI 48025-2408
(248) 723-5555
(248) 723-5225
Mailing address
7180 PARKHURST DR, BLOOMFIELD HILLS, MI 48301-3940
(248) 514-9741
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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