Individual
DR. CHARLES INCOGNITO CARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(816) 304-1573
Mailing address
76 W ADAMS AVE, 1604, DETROIT, MI 48226-1617
(816) 304-1573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5315037145
MI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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