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1164480661
CHARLES F MCKOLAY
WARREN, MI
NPI
1164480661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 5101012767)
Enumeration Date
2006-05-03
Last Update Date
2007-09-12
Business Address
CHARLES F MCKOLAY D.O.
11800 E 12 MILE RD ANESTHESIA DEPARTMENT
WARREN, MI 48093-3472
Phone number: 586-573-5260
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Mailing Address
CHARLES F MCKOLAY D.O.
7 W SQUARE LAKE RD
BLOOMFIELD HILLS, MI 48302-0462
Phone number: 586-573-5260
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