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Contact Information

CHARLES G KISSEL DPM PC
29433 RYAN RD
WARREN, MI48092-2203
 Phone: 586-574-0500
 Fax: 586-574-2694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHARLES G KISSEL DPM PC · (Female)

NPI Number 1043498652
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2008
Last updated 05/16/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # CK000960
  • MI Medicaid 1715614
  • MI Medicaid 4949617
  • MI Other 5972192 AETNA
  • MI Other P44714 B PLUS
  • MI Other 480E011810 BCBSM
  • MI Other 480F335300 BCBSM
  • MI Other 480Q245670 BCBSM
  • MI Other 2559787 CIGNA
  • MI Other 5987390001 DME
  • MI Other 6087740001 DME
  • MI Other 5137446 FIRST HEALTH
  • MI Other 12268 M-CARE
  • MI Other 480017380 MCRR
  • MI Other 480017711 MCRR
  • MI Other P00422721 MCRR
  • MI Other 21171 OMNI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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