Individual
CHARISSE O HOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
802 W KING ST STE G, OWOSSO, MI 48867-2100
(989) 725-8124
(989) 723-1205
Mailing address
802 W KING ST STE G, OWOSSO, MI 48867-2100
(989) 725-8124
(989) 723-1205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004619
MI
363AS0400X
Surgical Physician Assistant
5601004619
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891822292
—
MI
Enumeration date
02/27/2007
Last updated
09/18/2023
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