Individual
DR. RICARDO CHALELA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36561 HARPER AVE, CLINTON TWP, MI 48035-2012
(586) 791-0620
(586) 791-5565
Mailing address
5081 CRYSTAL CREEK LN, WASHINGTON, MI 48094-4218
(586) 781-6129
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301032010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301032010
LICENSE
MI
05
—
4812694
—
MI
Enumeration date
02/20/2006
Last updated
07/09/2007
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