# CHARLES EDWARD ROLLISON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356386387
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02003774A | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | 5101012731 | MI | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 92318 | MT | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 02/26/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0649513 | CIGNA | MI |
| 01 | — | 0999854 | HEALTH PLUS OF MICHIGAN | MI |
| 01 | — | 0C16002 | MEDICARE GROUP PTAN | MI |
| 01 | — | 0C16002133 | MEDICARE PTAN | MI |
| 01 | — | 0P10950 | TRAVELERS | MA |
| 01 | — | 160B511630 | BLUE CARE NETWORK | MI |
| 01 | — | 1652510814 | BLUE CROSS BLUE SHIELD | MI |
| 01 | — | 16814 | MCARE | MI |
| 01 | — | 382626196 | TRICARE HEALTH NET | MI |
| 01 | — | 4684825 | MOLINA HEALTH CARE | MI |
| 05 | — | 4684825 | — | MI |
| 01 | — | 7662412 | AETNA | MI |
| 01 | — | CR012731 | BLUE CARE NETWORK | MI |
| 01 | — | H76548 | HEALTH ALLIANCE PLAN | MI |