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Individual

CHARLENE L. SEBEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
19229 MACK AVE, SUITE 24, GROSSE POINTE, MI 48236-2858
(313) 884-5522
(313) 884-6054
Mailing address
19229 MACK AVE, SUITE 24, GROSSE POINTE, MI 48236-2858
(313) 884-5522
(313) 884-6054

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002989
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093700981
NPI #
MI
Enumeration date
09/16/2005
Last updated
02/05/2015
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