Individual
DR. CHARLES ANDREW MOSIMBWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 E MAIN ST, NILES, MI 49120-2200
(269) 683-7411
Mailing address
16 E MAIN ST, NILES, MI 49120-2200
(269) 683-7411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301089193
MI
207R00000X
Internal Medicine Physician
Primary
4301089193
MI
208D00000X
General Practice Physician
4301089193
MI
Other
Enumeration date
06/29/2007
Last updated
08/08/2011
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