CHARLES GUERNSEY

PORTAGE, MI
NPI1245280767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: MI  5101007080)
Enumeration Date2006-05-12
Last Update Date2007-10-09
Business Address
-- CHARLES GUERNSEY DO
3770 GLENKERRY CT
PORTAGE, MI 49024-0700
Phone number: 269-329-2887
Mailing Address
-- CHARLES GUERNSEY DO
PO BOX 120070
GRAND RAPIDS, MI 49528-0102
Phone number: 616-940-0660
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