Organization
CHARLENE SHARON STAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE SHARON STAFF P.A. (PHYSICIAN ASSISTANT)
(248) 971-9178
Entity
Organization
Contact information
Practice address
17701 WARWICK ST, DETROIT, MI 48219-4210
(248) 971-9178
Mailing address
17701 WARWICK ST, DETROIT, MI 48219-4210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007192
MI
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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