Individual
CHARLOTTE J. MICHELS ASBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.-C.
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(866) 799-5886
Mailing address
545 SCOTLAND ST, DUNEDIN, FL 34698-7042
(231) 838-0688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704119979
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4660180 10
—
MI
01
—
5008703230
BCBS PIN
MI
Enumeration date
05/02/2006
Last updated
08/19/2020
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