Individual
CHARLENE J SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-0466
Mailing address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-0466
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301081266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4514692
—
MI
01
—
MI43081266
BCBS
MI
Enumeration date
01/19/2006
Last updated
02/10/2016
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