Individual
DR. CHARLES E KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1601 MARQUETTE ST, STE 6, BAY CITY, MI 48706-4196
(989) 667-0561
(989) 667-0567
Mailing address
801 JOE MANN BLVD STE P-6, MIDLAND, MI 48642-8900
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0007246
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1791213
—
MI
01
—
Z96017024
MEDICARE PTAN
MI
Enumeration date
07/07/2006
Last updated
08/23/2022
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