Individual
DR. CHARLES ANDREW BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
29994 NORTHWESTERN HWY, SUITE I, FARMINGTON HILLS, MI 48334-3225
(248) 855-5554
(248) 851-8698
Mailing address
29994 NORTHWESTERN HWY, SUITE I, FARMINGTON HILLS, MI 48334-3225
(248) 855-5554
(248) 851-8698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801014861
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08977890
BLUE CROSS/BLUE SHIELD OF MICHIGAN PIN
MI
Enumeration date
10/30/2008
Last updated
10/30/2008
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