Provider Demographics
NPI:1568418804
Name:CHAUVIN, DAVID B (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:CHAUVIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-0655
Mailing Address - Country:US
Mailing Address - Phone:231-627-7118
Mailing Address - Fax:231-627-1838
Practice Address - Street 1:421 STIMPSON DR UNIT 102
Practice Address - Street 2:
Practice Address - City:PELLSTON
Practice Address - State:MI
Practice Address - Zip Code:49769-8800
Practice Address - Country:US
Practice Address - Phone:231-844-3051
Practice Address - Fax:231-844-3052
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101010444207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0792085Medicaid
P00096093OtherRR MEDICARE
000000315963OtherBCBS
P00096093OtherRR MEDICARE
000000315963OtherBCBS