Individual
LOUIS C CHIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 S MAIN ST, STE D, MILFORD, MI 48381
(248) 684-1282
(248) 684-2485
Mailing address
PO BOX 930319, WIXOM, MI 48393
(248) 684-1282
(248) 684-2485
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301045542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0706349011
BCBSM
MI
05
—
4749920
—
MI
Enumeration date
11/03/2006
Last updated
07/08/2007
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