Individual
DR. CHARLES RUSSELL POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S RATH AVE, SUITE 102, LUDINGTON, MI 49431-3003
(231) 843-2543
Mailing address
300 S RATH AVE, SUITE 102, LUDINGTON, MI 49431-3003
(231) 843-2543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CP038083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805336581
BCBSM
MI
05
—
2100810
—
MI
Enumeration date
02/18/2007
Last updated
04/22/2016
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