CHARLES L DESIBOUR

GRAND RAPIDS, MI
NPI1891712741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: MI  4301057841)
Additional Taxonomies207L00000X Anesthesiology
(Licence: MI  4301057841)
Enumeration Date2006-07-16
Last Update Date2012-04-27
Business Address
-- CHARLES L DESIBOUR MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
Mailing Address
-- CHARLES L DESIBOUR MD
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-391-1680