Individual
DR. CHARLES MATTHEW GILCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3030 FORT ST, LINCOLN PARK, MI 48146-2428
(313) 928-2777
(313) 928-2825
Mailing address
3030 FORT ST, LINCOLN PARK, MI 48146-2428
(313) 928-2777
(313) 928-2825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006168
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143224525
—
MI
01
—
383277909
COMMERCIAL
MI
01
—
950H234910
BCBSM
MI
01
—
950H253200
BCBSM
MI
01
—
U51766
HAP
MI
Enumeration date
10/12/2005
Last updated
12/09/2011
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