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Dr. Chate Wansom, MD
General Practice Physician in Monroe, Michigan
NPI 1780785931

Chate Wansom is a General Practice Physician based in Monroe, MI. Chate Wansom practices in Monroe, MI and has the professional credentials of MD. The NPI Number for Chate Wansom is 1780785931 and holds a License No. 4301038906 (Michigan).

The current practice location address for Chate Wansom is 1492 N Monroe St, Monroe, MI and can be reached out via phone at 734-242-3060 and via fax at 734-242-3062. You can also correspond with Chate Wansom through the mailing address at 1492 N MONROE ST, MONROE, MI - 48162-4210 (mailing address contact number: 734-242-3060).

Location: 1492 N Monroe St, Monroe, MI, 48162-4210
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Provider Profile Details
NPI Number
1780785931
Provider Name
Chate Wansom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1492 N Monroe St, Monroe, MI, 48162-4210
Phone Number
734-242-3060
Fax Number
734-242-3062
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1395936 05 MI
institution
Provider Business Practice Location Address Details
Address
1492 N Monroe St
City
State
Zip
48162-4210
Phone Number
734-242-3060
Fax Number
734-242-3062
person
Provider Business Mailing Address Details
Address
1492 N Monroe St
City
State
Zip
48162-4210
Phone Number
734-242-3060
Fax Number
734-242-3062
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301038906 (Michigan)
Definition
Definition to come...
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