person
Dr. Charles Gregory Kissel, DPM
Foot & Ankle Surgery Podiatrist in Warren, Michigan
NPI 1982606414

Charles Gregory Kissel is a Foot & Ankle Surgery Podiatrist based in Warren, MI and is specialized in Foot & Ankle Surgery. Charles Gregory Kissel practices in Warren, MI and has the professional credentials of DPM. The NPI Number for Charles Gregory Kissel is 1982606414 and holds a License No. 5901000960 (Michigan).

The current practice location address for Charles Gregory Kissel 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
person
Provider Profile Details
NPI Number
1982606414
Provider Name
Charles Gregory Kissel
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
29433 Ryan Rd, Warren, MI, 48092-2203
Phone Number
586-574-0500
Fax Number
586-574-2694
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4949617 05 MI
480F330020 01 MI BCBSM
1715614 05 MI
480E011810 01 MI BCBSM
2932693 05 MI
4585272 05 MI
T34053 01 MI UPIN
480F335300 01 MI BCBSM
480Q24567 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
29433 Ryan Rd
City
State
Zip
48092-2203
Phone Number
586-574-0500
Fax Number
586-574-2694
person
Provider Business Mailing Address Details
Address
29433 Ryan Rd
City
State
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
License No.
5901000960 (Michigan)
Definition
Definition to come...
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