Individual
DR. SCOTT RICHARD CHICOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2543
(616) 459-7258
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301511258
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A153459
CA
Other
Enumeration date
04/02/2012
Last updated
11/17/2025
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