CHARLES IRELAND

DETROIT, MI
NPI1235259094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001262)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
CHARLES IRELAND PA-C
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-8040
Mailing Address
CHARLES IRELAND PA-C
3990 JOHN R HAR RADIOLOGY
DETROIT, MI 48201
Phone number: 313-745-8411
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