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Individual

DR. CHARLES FREDERIC WHITAKER IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
436 MARSHALL ST, COLDWATER, MI 49036-1139
(517) 278-6600
(517) 278-0600
Mailing address
436 MARSHALL ST, COLDWATER, MI 49036-1139
(517) 278-6600
(517) 278-0600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078363
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821054966
MI
Enumeration date
04/26/2006
Last updated
01/10/2011
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