Individual
CHARLES ANDREW MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
766 N KING ST, NORTHAMPTON, MA 01060-1142
(413) 582-0330
Mailing address
54 WASHINGTON AVE, NORTHAMPTON, MA 01060-2823
(413) 582-0330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
80108
MA
Other
Enumeration date
06/06/2006
Last updated
06/01/2011
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