DR. CHATE WANSOM M.D.
NPI 1780785931
General Practice in Monroe, MI

Q: What is Chate Wansom's NPI number?

The NPI number for Chate Wansom is 1780785931. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Chate Wansom's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Chate Wansom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2006

1492 N MONROE ST, MONROE, MI 48162(734) 242-3060(734) 242-3062 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Chate Wansom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHATE WANSOM M.D. (NPI 1780785931) is an individual general practice provider in Monroe, Michigan, licensed in Michigan (4301038906) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1780785931

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. CHATE WANSOMCredential: M.D.

Location Address1492 N MONROE STMonroe, MI 48162-4210

Mailing Address1492 N Monroe StMonroe, MI 48162-4210 · (734) 242-3060 · Fax (734) 242-3062

Phone(734) 242-3060

Fax(734) 242-3062

Sole ProprietorYes

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780785931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 4301038906

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1492 N MONROE ST, Monroe, MI 48162

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Other Identifiers 3

Medicare ID-Type Unspecified0580012MI

Medicaid1395936MI

Medicare UPINA76076MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAQIB RAZAQ, M.D.,P.C.

Internal Medicine

1492 N MONROE ST
MONROE, MI 48162

Monroe County (734) 457-3100

WANSOM MEDICAL CENTER, P.C.

General Practice

1492 N MONROE ST
MONROE, MI 48162

Monroe County (734) 242-3060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chate Wansom's NPI number?

The NPI number for Chate Wansom is 1780785931. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Chate Wansom located?

Chate Wansom practices at 1492 N Monroe St, Monroe, MI 48162. The listed phone number is (734) 242-3060.

What is Chate Wansom's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Chate Wansom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.