CHARLIE C PAN

ANN ARBOR, MI
NPI1407948805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: WI  54475-20)
Additional Taxonomies2085R0001X 
(Licence: MI  4301074664)
Enumeration Date2006-09-29
Last Update Date2019-12-16
Business Address
CHARLIE C PAN MD
1500 EAST MEDICAL CENTER DR B2 FLOOR UNIVERSITY HOSPITAL RM C490
ANN ARBOR, MI 48109-0010
Phone number: 734-936-4300
Mailing Address
CHARLIE C PAN MD
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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