Individual
STANLEY J CHETCUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTER, ANN ARBOR, MI 48109-5856
(888) 287-1082
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301072581
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301072581
MI
207RI0011X
Interventional Cardiology Physician
4301072581
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4131216
—
MI
Enumeration date
01/16/2007
Last updated
02/21/2012
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