Jacquelyn Marie Charbel, DO
Colon & Rectal Surgery in East Lansing, MI. Individual provider (NPI-1).
NPI number1760623318
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1760623318
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Marie Charbel
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2009
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 5101018375 | MI | Yes |
| 208600000X | Surgery | 5101018375 | MI |
Practice location
4660 S Hagadorn Rd Ste 600East Lansing, MI 48823-5383
Phone 517-355-4205 · Fax 517-355-4202
Mailing address
804 Service Rd Ste A202East Lansing, MI 48824-7015
Phone 517-355-4205 · Fax 517-355-4202
Other practice locations
4660 S Hagadorn Rd Ste 210
East Lansing, MI 48823-5353
East Lansing, MI 48823-5353
Phone 517-353-3102 · Fax 517-353-3101
3250 Forest Rd
Lansing, MI 48910-3720
Lansing, MI 48910-3720
Phone 517-975-6000
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