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Charles G Kissel Dpm Pc
Durable Medical Equipment & Medical Supplies in Warren, Michigan
NPI 1013001221

Charles G Kissel Dpm Pc is a Durable Medical Equipment & Medical Supplies based in Warren, MI. Charles G Kissel Dpm Pc practices in Warren, MI. The NPI Number for Charles G Kissel Dpm Pc is 1013001221 and holds a License No. CK000960 (Michigan).

The current practice location address for Charles G Kissel Dpm Pc is 29433 Ryan Rd, Warren, MI and can be reached out via phone at 586-574-0500 and via fax at 586-574-2694.

Location: 29433 Ryan Rd, Warren, MI, 48092-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013001221
Provider Name
Charles G Kissel Dpm Pc
Credential
Provider Entity Type
Organization
Address
29433 Ryan Rd, Warren, MI, 48092-2203
Phone Number
586-574-0500
Fax Number
586-574-2694
Provider Enumeration Date
10/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
134865123 05 MI
480017711 01 MI MCRR
480E011810 01 MI BCBS
480E011810 01 MI BCN
ZH002007 01 MI LICENSE
540E026180 01 MI BCDME
5901002214 01 MI LICENSE
CK000960 01 MI LICENSE
MS000843 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
29433 Ryan Rd
City
Warren
State
Michigan
Zip
48092-2203
Phone Number
586-574-0500
Fax Number
586-574-2694
person
Provider Business Mailing Address Details
Address
29433 Ryan Rd
City
Warren
State
Michigan
Zip
48092-2203
Phone Number
586-574-0500
Fax Number
586-574-2694
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
ZH002007 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
CK000960 (Michigan)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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