Individual
CHARLES UNSELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
O-38 44TH ST SW, GRANDVILLE, MI 49418
(616) 457-6100
Mailing address
O-38 44TH ST SW, GRANDVILLE, MI 49418
(616) 457-6100
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501008887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3501008887
STATE LICENSE NUMBER
MI
Enumeration date
07/08/2016
Last updated
07/08/2016
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