Individual
MR. CHARLES PAUL ROELANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
601 JOHN ST, SUITE M-206C, KALAMAZOO, MI 49007-5341
(269) 349-9745
(269) 488-8305
Mailing address
601 JOHN ST, SUITE M-206C, KALAMAZOO, MI 49007-5341
(269) 349-9745
(269) 488-8305
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2601004675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00606306
MEDICARE RAILROAD
MI
Enumeration date
03/15/2006
Last updated
11/27/2023
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