Individual
DR. CHARLES G TODOROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
(989) 348-0473
Mailing address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
(989) 348-0473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CT039974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104974146
—
MI
05
—
104989603
—
MI
Enumeration date
09/06/2005
Last updated
11/19/2012
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