CHARLES G KISSEL DPM PC
Suppliers at Ryan Rd, Warren, MI

License number
Michigan ZH002007
Category
Medical Practice
Type
Foot & Ankle Surgery
License number
Michigan MS00843
Category
Medical Practice
Type
Foot & Ankle Surgery
License number
Michigan CK000960
Category
Medical Practice
Type
Foot & Ankle Surgery
License number
Michigan CK000960
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: CINDY SMITH
Title: MANAGER
Phone: (586) 574-0500
Address
Address
29433 Ryan Rd, Warren, MI 48092
National Provider ID: 1013001221
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES G. KISSEL, D.P.M., PC

Warren, MI

Registration:
Jan 6, 1986
Addresses:
29433 Ryan, Warren, MI 48092 (Physical)
Michigan (Mailing)
State ID:
210902
Business type:
Domestic Professional Service Corporation
Agent:
Charles G. Kissel, D.p.m

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