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Individual

CHARLES S WINSLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 JEFFERSON AVE SE, NICU, GRAND RAPIDS, MI 49503-4502
(616) 752-6902
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 913-1818

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301048835
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301048835
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3473236
MI
05
4877975
MI
Enumeration date
07/14/2006
Last updated
09/11/2025
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