Individual
DR. CHARLES D MOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8180 26 MILE RD, SUITE 300, SHELBY TOWNSHIP, MI 48316-5129
(586) 786-5900
(586) 992-9331
Mailing address
8180 26 MILE RD STE 300, SHELBY TOWNSHIP, MI 48316-5139
(586) 992-8300
(586) 992-9331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101010912
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010E018410
BCBSM
MI
01
—
201981170
WAUSAU INS CO
MI
01
—
5148205
AETNA
MI
Enumeration date
05/16/2006
Last updated
05/12/2023
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