Individual provider · Type 1 NPI

Charles Ireland, PA-C

Medical Physician Assistant · Detroit, MI

NPI number 1235259094 Active

Practice location

3990 John R St
Detroit, MI 48201-2018

Mailing address

3990 John R Har Radiology
Detroit, MI 48201

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601001262 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1235259094

Charles Ireland, PA-C's National Provider Identifier is 1235259094, issued on Mar 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.