NPI 1518278191

Michael Robert Chetosky, RPH

Practitioner Pharmacist New Baltimore, MI

Practice location

Address: 35350 23 Mile Rd, New Baltimore, MI 48047-4436
Phone: (586) 725-3640
Fax: (586) 716-2448

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302410558 (MI)

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Registry record

NPI: 1518278191
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2010
Record last updated: 29 Jun 2010

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.