Individual
DR. CHARLES ANDREW ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4344938
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104111901
BLUE SHIELD PIN #
MI
Enumeration date
08/31/2006
Last updated
01/17/2011
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