| Charles R. Slone, M.d., P.c. | |
|
2021 Monroe St Suite 201 Dearborn MI 48124-2926 | |
| (313) 565-9390 | |
| (313) 565-9544 |
| Full Name | Charles R. Slone, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2021 Monroe St, Dearborn, Michigan |
| Authorized Official Name and Position | Charles R Slone (PRESIDENT) |
| Authorized Official Contact | 3135659390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R. Slone, M.d., P.c. 2021 Monroe St Suite 201 Dearborn MI 48124-2926 Ph: (313) 565-9390 | Charles R. Slone, M.d., P.c. 2021 Monroe St Suite 201 Dearborn MI 48124-2926 Ph: (313) 565-9390 |
| NPI Number | 1770889834 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 05/20/2011 |
| Medicare PECOS PAC ID | 0547442196 |
|---|---|
| Medicare Enrollment ID | O20110303000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770889834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301030744 (Michigan) | Primary |
| Provider Name | Charles R Slone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639149610 PECOS PAC ID: 8527240175 Enrollment ID: I20110303000519 |
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