CHARLES R GREEN

PETOSKEY, MI
NPI1962574285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003793)
Enumeration Date2006-11-14
Last Update Date2009-01-05
Business Address
-- CHARLES R GREEN PA-C
1937 M 119
PETOSKEY, MI 49770-8913
Phone number: 231-348-9200
Mailing Address
-- CHARLES R GREEN PA-C
1937 M 119
PETOSKEY, MI 49770-8913
Phone number: 231-348-9200
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