Individual
DR. DAVID L CHENGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 COOLIDGE HWY STE 200, TROY, MI 48084-7068
(248) 291-6516
(248) 291-6518
Mailing address
1380 COOLIDGE HWY, STE 200, TROY, MI 48084-7068
(248) 291-6516
(248) 291-6518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301058821
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336438510
—
MI
Enumeration date
11/14/2005
Last updated
06/17/2020
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