Individual
CHARLES E FELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6401 PRAIRIE ST, SUITE 1200, MUSKEGON, MI 49444
(231) 724-7800
Mailing address
6401 PRAIRIE ST, SUITE 2300, MUSKEGON, MI 49444
(231) 727-7944
(231) 724-7812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010328
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F163940
BCBSM
MI
05
—
4829950
—
MI
Enumeration date
06/15/2006
Last updated
05/14/2014
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