Individual
DR. STEVEN ST. CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5522
Mailing address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5522
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301405903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4392357
—
MI
Enumeration date
11/08/2006
Last updated
11/20/2007
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