NPI 1376304154

Sergio Chavez

Practitioner Driver Grand Rapids, MI

Practice location

Address: 40 Pearl St NW STE 200, Grand Rapids, MI 49503-3026
Phone: (616) 204-7006

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1376304154
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2024
Record last updated: 19 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.