Individual
KARL CHARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 WHITEHALL DR, ANN ARBOR, MI 48105-9694
(734) 995-0308
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4772
(312) 359-4905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301509918
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2020
Last updated
03/18/2024
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