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1780785931
CHATE WANSOM
MONROE, MI
NPI
1780785931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: MI 4301038906)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Dr. CHATE WANSOM M.D.
1492 N MONROE ST
MONROE, MI 48162-4210
Phone number: 734-242-3060
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Mailing Address
Dr. CHATE WANSOM M.D.
1492 N MONROE ST
MONROE, MI 48162-4210
Phone number: 734-242-3060
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