Charles R Solon III DPM

NPI 1063499630 - Podiatrist - 213E00000X

NPI Details
NPI 1063499630
Gender Male
Enumeration Date 12/27/2005
Last Updated 09/01/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
2460 BURTON ST SE
SUITE 200
GRAND RAPIDS MI, 49546-4800, US
Phone (616) 774-9571
Fax
Business Location
2460 BURTON ST SE
SUITE 200
GRAND RAPIDS MI, 49546-4800, US
Phone (616) 774-9571
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Michigan
License Number CS001382
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According to our database, Charles R Solon III DPM NPI is 1063499630, taxonomy code is 213E00000X and license number is CS001382, license state is located at Michigan. Charles R Solon III DPM physically located at 2460 Burton St Se, Grand Rapids MI, 49546-4800. NPI Number Charles R Solon III DPM has the Individual type.

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1063499630 NPI number is provided on an as is basis without warranty of any kind. 1063499630 is maintained by the National Plan & Provider Enumeration System. The contents of Charles R Solon III DPM are for informational purposes only.