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1770621252
CHARLA M BLACKER
TROY, MI
NPI
1770621252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology
(Licence: MI 4301048499)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- CHARLA M BLACKER M.D.
1500 W BIG BEAVER RD STE 105
TROY, MI 48084-3526
Phone number: 248-637-4050
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Mailing Address
-- CHARLA M BLACKER M.D.
1056 DEVONSHIRE RD
GROSSE POINTE PARK, MI 48230-1417
Phone number: 313-885-1052
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