CHARLES THEODOROVICH

BINGHAM FARMS, MI
NPI1710945746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MI  4704101769)
Enumeration Date2006-05-01
Last Update Date2014-04-01
Business Address
-- CHARLES THEODOROVICH CRNA
30200 TELEGRAPH RD SUITE 220
BINGHAM FARMS, MI 48025-4502
Phone number: 248-258-5058
Mailing Address
-- CHARLES THEODOROVICH CRNA
321 N GORDON ST
MARSHALL, MI 49068-1214
Phone number:
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