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1235259094
CHARLES IRELAND
DETROIT, MI
NPI
1235259094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601001262)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
CHARLES IRELAND PA-C
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-8040
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Mailing Address
CHARLES IRELAND PA-C
3990 JOHN R HAR RADIOLOGY
DETROIT, MI 48201
Phone number: 313-745-8411
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