Provider Demographics
NPI:1912977869
Name:SAVAGE, CHAD D (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:D
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:47601 GRAND RIVER AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1233
Mailing Address - Country:US
Mailing Address - Phone:248-465-4163
Mailing Address - Fax:248-465-4359
Practice Address - Street 1:7297 NEMCO WAY
Practice Address - Street 2:SUITE 265
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116
Practice Address - Country:US
Practice Address - Phone:810-255-8589
Practice Address - Fax:810-220-2050
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301081392207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4797088Medicaid
H96310Medicare UPIN