Provider Demographics
NPI:1366530867
Name:CHAVEY, WILLIAM E II (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:CHAVEY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:SUITE L2200
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-930-4020
Mailing Address - Fax:734-930-4055
Practice Address - Street 1:24 FRANK LLOYD WRIGHT DR STE L2200
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9484
Practice Address - Country:US
Practice Address - Phone:734-930-4020
Practice Address - Fax:734-769-8948
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301060012207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3354870Medicaid
MI3354870Medicaid
MIG23203Medicare UPIN