Individual
CHARLES W. MCCLOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27450 SCHOENHERR RD, 400, WARREN, MI 48088-6683
(586) 582-7550
(586) 582-7515
Mailing address
43800 GARFIELD RD, CLINTON TWP, MI 48038-1136
(800) 848-0202
(586) 226-6949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301055273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4142416
—
MI
05
—
5182480
—
MI
Enumeration date
10/24/2005
Last updated
02/07/2008
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