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

License number
Michigan CK000960
Category
Podiatry
Type
Podiatrist
Owner
Name: CHARLES G KISSEL DPM
Title: PARTNER
Phone: (586) 574-0500
Address
Address
29433 Ryan Rd, Warren, MI 48092
National Provider ID: 1043498652
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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