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1043311848
CHARLES J LILLY
MOUNT PLEASANT, MI
NPI
1043311848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 4301048544)
Enumeration Date
2006-09-26
Last Update Date
2008-09-30
Business Address
Dr. CHARLES J LILLY M.D.
2890 HEALTH PARKWAY
MOUNT PLEASANT, MI 48858
Phone number: 989-772-3886
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Mailing Address
Dr. CHARLES J LILLY M.D.
350 CEDAR DR
MOUNT PLEASANT, MI 48858-9027
Phone number: 989-772-4403
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