Charlene Sharon Staff

NPI #1619371564 in Detroit, Michigan

Provider Information

NPI Number: 1619371564
Entity Type: Organization
Organization Name: Charlene Sharon Staff
Primary Specialty: Physician Assistant
Enumeration Date: Oct 21, 2014
Last Updated: Oct 21, 2014

Practice Location

Address: 17701 WARWICK ST
City: Detroit
State: Michigan
ZIP Code: 48219-4210
Phone: (248) 971-9178

Authorized Official

Name: CHARLENE SHARON STAFF, P.A.
Title: PHYSICIAN ASSISTANT
Phone: (248) 971-9178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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