Individual
MICHAEL ROBERT CHAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2398 HILLSDALE DR, BEAVERCREEK, OH 45431-5670
(419) 699-4398
Mailing address
2398 HILLSDALE DR, BEAVERCREEK, OH 45431-5670
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-129022
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
08/02/2016
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