Individual
ADAM MCLELLAND CHENEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
600 N WOLFE ST HALSTED 600, BALTIMORE, MD 21287-0001
(734) 657-8728
Mailing address
890 TYSON STREET, APT 3A, BALTIMORE, MD 21201
(734) 657-8728
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
10/29/2014
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