Individual
MR. CHARLES EDWARD POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
31300 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-5407
(248) 254-3318
Mailing address
43000 12 OAKS CRESCENT DR, NOVI, MI 48377-3404
(734) 233-7227
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704268830
MI
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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