Organization
CHARLESBROOK PROTECTION SERVICES
Active
Organization
CHARLESBROOK PROTECTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN QUEEN MD (CHIEF MEDICAL OFFICER)
(734) 365-4330
Entity
Organization
Contact information
Practice address
1345 MONROE AVE NW STE 328, GRAND RAPIDS, MI 49505-4673
(616) 648-8747
Mailing address
8725 WOODLAND FRST SE, ALTO, MI 49302-9308
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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