Michael Stephen Chisum, M.D. is a student in an organized health care education training program in Gainesville, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Michael Stephen Chisum, M.D. NPI is 1265963771. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4415 SW 34TH ST
APT. 607
GAINESVILLE, FL
ZIP 32608-442
Phone: (239) 253-5653
The NPI 1265963771 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/26/2017 and was last updated on 3/26/2017.