Charles G Kissel Dpm Pc in Warren - Foot & Ankle Surgery

Charles G Kissel Dpm Pc - NPI 1013001221

Charles G Kissel Dpm Pc is a Foot & Ankle Surgery in Warren, Michigan. Charles G Kissel Dpm Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Charles G Kissel Dpm Pc is 1013001221. The last update date is 2012-08-02.

Charles G Kissel Dpm Pc's current location address is 29433 Ryan Rd, Warren, Michigan. You can contact this provider via phone number 5865740500 and fax number 5865742694. The mailing address for Charles G Kissel Dpm Pc is 29433 Ryan Rd, Warren, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charles G Kissel Dpm Pc
Address 29433 Ryan Rd, Warren, Michigan
Phone Number 5865740500
Fax Number 5865742694
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Smith Cindy
Telephone Number 5865740500

NPI Number Detail

NPI Number 1013001221
Provider Enumeration Date 2006-10-03
Last Updated Date 2012-08-02

Provider Mailing Address Detail

Address 29433 Ryan Rd
City Warren
State Michigan (MI)
Post Code 480922203
Phone Number 5865740500
Fax Number 5865742694

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No CK000960
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
134865123 MI --
480017711 MI MCRR
480E011810 MI BCBS
480E011810 MI BCN
ZH002007 MI LICENSE
540E026180 MI BCDME
5901002214 MI LICENSE
CK000960 MI LICENSE
MS000843 MI LICENSE

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FAQs about Charles G Kissel Dpm Pc

What is the unique 10-digit identification code issued to Charles G Kissel Dpm Pc by the Centers for Medicare & Medicaid Services?

The Charles G Kissel Dpm Pc has been assigned the NPI (National Provider Identifier) 1013001221 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Charles G Kissel Dpm Pc?

The Charles G Kissel Dpm Pc is physically situated at 29433 Ryan Rd, in the city of Warren, state of MI, with the postal code 480922203.

What is Charles G Kissel Dpm Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Charles G Kissel Dpm Pc's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.

On what date did the Charles G Kissel Dpm Pc receive its 1013001221 assignment from the Centers for Medicare & Medicaid Services?

The Charles G Kissel Dpm Pc was assigned its 1013001221 by the Centers for Medicare & Medicaid Services on 2006-10-03.

When was the information pertaining to Charles G Kissel Dpm Pc most recently updated or revised?

The details related to Charles G Kissel Dpm Pc, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-02.

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