Individual
CHARLES R DILLAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3960 PATIENT CARE WAY, STE 113, LANSING, MI 48911-4275
(517) 702-2940
Mailing address
3960 PATIENT CARE WAY, STE 113, LANSING, MI 48911-4275
(517) 702-2940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003829
MI
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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