Charles Ray Alderdice D.O.

NPI 1821056649 - Family Medicine - 207Q00000X

NPI Details
NPI 1821056649
Gender Male
Enumeration Date 05/02/2006
Last Updated 07/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1906 LANGLEY AVE
SAINT JOSEPH MI, 49085-1739, US
Phone (269) 982-1722
Fax (269) 982-1842
Business Location
1906 LANGLEY AVE
SAINT JOSEPH MI, 49085-1739, US
Phone (269) 982-1722
Fax (269) 982-1842
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 5101008526
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According to our database, Dr. Charles Ray Alderdice D.O. NPI is 1821056649, taxonomy code is 207Q00000X and license number is 5101008526, license state is located at Michigan. Charles Ray Alderdice D.O. physically located at 1906 Langley Ave, Saint Joseph MI, 49085-1739. NPI Number Charles Ray Alderdice D.O. has the Individual type.

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1821056649 NPI number is provided on an as is basis without warranty of any kind. 1821056649 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Ray Alderdice D.O. are for informational purposes only.