IndividualActive
Charles Desibour, MD
NPI 1891712741 · Emergency Medical Services (Emergency Medicine) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1891712741
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301057841 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
Approximate (ZIP-level) locationGet directions
Mailing address
4100 Embassy Dr Se Ste 400
Grand Rapids, MI 49546-2416
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.