Individual
DR. CHARLES J DANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7844
(231) 876-7725
Mailing address
PO BOX 87, CADILLAC, MI 49601-0087
(231) 775-6076
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301028856
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2508301211
BLUE CROS BLUE SHIELD
MI
05
—
4158990
—
MI
Enumeration date
05/11/2006
Last updated
09/26/2007
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