Individual
SERGIO CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 PEARL ST NW STE 200, GRAND RAPIDS, MI 49503-3026
(616) 204-7006
Mailing address
40 PEARL ST NW STE 200, GRAND RAPIDS, MI 49503-3026
(616) 204-7006
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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