Provider Demographics
NPI:1659314870
Name:CHERNIN, DAVID M (M D)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:CHERNIN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2305 GENOA BUSINESS PARK DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114
Mailing Address - Country:US
Mailing Address - Phone:810-494-6800
Mailing Address - Fax:810-229-4990
Practice Address - Street 1:2305 GENOA BUSINESS PARK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7004
Practice Address - Country:US
Practice Address - Phone:810-494-6800
Practice Address - Fax:810-229-4990
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2012-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI039635207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4159979Medicaid
MIB56724Medicare UPIN
MIN96790004Medicare PIN
MIOM37250Medicare ID - Type UnspecifiedMEDICARE NUMBER