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Individual

DR. DAVID CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9099 E LANSING RD, STEA, DURAND, MI 48429-1083
(989) 288-2651
Mailing address
9099 E LANSING RD, STEA, DURAND, MI 48429-1083
(989) 288-2651

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014527
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114732575
MI
Enumeration date
05/20/2006
Last updated
06/07/2011
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