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Dr. Charles Gregory Kissel, DPM

Podiatrist, Foot & Ankle Surgery in Warren, MI. Individual provider (NPI-1).

NPI number1982606414
StatusActive
Last updated in NPPESOct 24, 2014

Details

NPI
1982606414
Entity type
Individual (NPI-1)
Name
Dr. Charles Gregory Kissel
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2005
Last updated
Oct 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery5901000960MIYes

Practice location

29433 Ryan Rd
Warren, MI 48092-2203

Phone 586-574-0500 · Fax 586-574-2694

Mailing address

29433 Ryan Rd
Warren, MI 48092-2203

Phone 586-574-0500 · Fax 586-574-2694

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