Individual
DR. EUGENE N CHARDOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3499 S LINDEN RD, SUITE 2, FLINT, MI 48507-3022
(810) 820-8121
(810) 820-8335
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(810) 820-8121
(810) 820-8335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301023744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B50683
BCBS
MI
05
—
1158646
—
MI
01
—
EC023744
STATE LIC #
MI
Enumeration date
06/05/2006
Last updated
10/10/2011
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