Individual
CECIL H CHALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15700 37TH AVE N, SUITE 300, PLYMOUTH, MN 55446-3661
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19040
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610577700
—
MN
Enumeration date
02/06/2006
Last updated
05/21/2014
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