Individual
DEL CHARBONIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27101 SCHOENHERR RD, WARREN, MI 48088-4730
(586) 758-5800
(586) 758-5841
Mailing address
27101 SCHOENHERR RD, WARREN, MI 48088-4730
(586) 758-5800
(586) 758-5841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049752
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105015482
BCBSMI PIN
MI
05
—
1988470
—
MI
01
—
200158731
TAX ID WARREN RAD
MI
01
—
381898230
TAX ID SCHOENHERR MEDICAL
MI
01
—
DC049752
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/25/2006
Last updated
10/30/2025
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