Individual
ANDRZEJ MARIAN CHEBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4069 LAKE DR SE, SUITE 117, GRAND RAPIDS, MI 49546-8816
(616) 726-8700
(616) 726-8705
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065363
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-490-776-2
ECFMG NUMBER
—
01
—
11273525
CAQH PROVIDER ID
—
Enumeration date
07/02/2006
Last updated
02/04/2011
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