Individual provider · Type 1 NPI

Charles L. Desibour, MD

Emergency Medical Services (Emergency Medicine) Physician · Grand Rapids, MI

NPI number 1891712741 Active

Practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Call (616) 391-1680 Map

Mailing address

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X4301057841 (MI)
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X4301057841 (MI)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1891712741

Charles L. Desibour, MD's National Provider Identifier is 1891712741, issued on Jul 16, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 21, 2025.