Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. R CHASE THEBAULT, M.D.
ActiveDR. R CHASE THEBAULT, M.D. is a Family Medicine healthcare provider located in DETROIT, Michigan. NPI 1699920082 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DETROIT, MI
Registration Details
- NPI Number
- 1699920082
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2008 (17.704863331256 yrs)
- Last Updated
- May 18, 2022
- License
-
4301104510 (MI)
Practice Information
- Address
-
5716 MICHIGAN AVEDETROIT, MI, 482103039Browse MI providers · Browse ZIP 48210
- Phone
- 3135541095
- Fax
- 3138993560
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| SYLVIA G MUSTONEN | DO | 1306848619 |
| DR. WILLIAM P PRECHEL | D.O. | 1912903139 |
| EDUARDO ABELLANA | M.D. | 1215929906 |
| DR. BARRY D. BRONSTEIN | D.O. | 1699767475 |
| JAROSLAW SAWKA | D.O. | 1750373478 |
| GLORIA CHANEY | — | 1548252240 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.