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Organization

CHARLES M. GILCHER D.C., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES MATTHEW GILCHER D.C. (OWNER)
(313) 928-2777
Entity
Organization

Contact information

Practice address
3030 FORT ST, LINCOLN PARK, MI 48146-2428
(313) 928-2777
(313) 928-2825
Mailing address
3030 FORT ST, LINCOLN PARK, MI 48146-2428
(313) 928-2777
(313) 928-2825

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3254525
MI
01
950H234910
BCBSM
MI
01
950H253200
BCBSM
MI
01
U51766
HAP
MI
Enumeration date
10/02/2007
Last updated
12/09/2011
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