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Individual

CHARLES JONES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
310 S FRONT ST, DOWAGIAC, MI 49047-1740
(269) 782-8696
Mailing address
31726 SUNRISE AVE, DOWAGIAC, MI 49047-9233
(269) 424-5896

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007342
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0151400015
BCBSM
MI
Enumeration date
08/26/2005
Last updated
07/09/2007
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