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Individual

SARAH ELAINE CHARTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1717 SHAFFER ST STE 124, KALAMAZOO, MI 49048-1629
(269) 226-6917
Mailing address
1717 SHAFFER ST STE 124, KALAMAZOO, MI 49048-1629

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301098635
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301098635
MI

Other

Enumeration date
06/28/2011
Last updated
11/28/2018
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