Individual
CHARLES J HUEBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 W MITCHELL ST, STE 560, PETOSKEY, MI 49770-2275
(231) 487-2150
(231) 487-6562
Mailing address
560 W MITCHELL ST, STE 560, PETOSKEY, MI 49770-2275
(231) 487-2150
(231) 487-6562
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301050683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4086827 10
—
MI
Enumeration date
04/03/2006
Last updated
09/07/2012
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