Individual provider · Type 1 NPI

Charles Mahoney, DO

Student in an Organized Health Care Education/Training Program · Warren, MI

NPI number 1376485003 Active

Practice location

27450 Schoenherr Rd Ste 400
Warren, MI 48088-6684

Call (586) 582-7550 Map

Fax (586) 582-7515

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376485003

Charles Mahoney, DO's National Provider Identifier is 1376485003, issued on Apr 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, MI. The record was last updated on Apr 9, 2026.