MEDICARE: CHARLES BRIAN PELSHAW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	4301063401	MI
2	2081P0010X	Pediatric Rehabilitation Medicine Physician	4301063401	MI

General Provider Information

NPI Number	:	1255378741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES BRIAN PELSHAW MD

Provider Business Mailing Address
First Line	:	4201 ST. ANTOINE - UHC 5D MAILBOX 226
Second Line	:	UNIVERSITY PEDIATRICIANS
City	:	DETROIT
State	:	MI
Zip	:	48201-2153
Country	:	US
Telephone Number	:	313-745-4405
Fax Number	:	313-966-0665

Provider Business Practice Location Address
First Line	:	3901 BEAUBIEN 1ST FLOOR MAIN BUILDING
Second Line	:	CHILDRENS HOSPITAL MI
City	:	DETROIT
State	:	MI
Zip	:	48201
Country	:	US
Telephone Number	:	313-993-2757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	01/12/2017

Similar Medicare Providers

1326907973 — PHILSHANWA WILSON
Practice Location Address:

10 PETERBORO ST
DETROIT, MI
48201-2722

Practice Phone: 313-989-3437
Practice Fax:

1730635350 — AMY MARIE MNICH VALLERAND
Practice Location Address:

79 W ALEXANDRINE ST
DETROIT, MI
48201-2015

Practice Phone: 313-831-5535
Practice Fax: 313-837-2608

1891654257 — ARMANI DARRON FORD-WEBB
Practice Location Address:

50 E CANFIELD ST
DETROIT, MI
48201-1804

Practice Phone: 313-448-9863
Practice Fax:

1720947013 — DANIELLE CATLIN RN-MSN
Practice Location Address:

4646 JOHN R ST
DETROIT, MI
48201-1916

Practice Phone: 313-576-1199
Practice Fax:

1801755012 — ALEXIS KRALOVICH
Practice Location Address:

540 E CANFIELD ST
DETROIT, MI
48201-1928

Practice Phone: 313-577-1466
Practice Fax:

1285423079 — SHANTA BAI
Practice Location Address:

3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MICHIGAN
DETROIT, MI
48201

Practice Phone: 313-745-5533
Practice Fax:

1124609060 — CAMERON WERNER MD
Practice Location Address:

4201 SAINT ANTOINE ST STE 6A
DETROIT, MI
48201-2153

Practice Phone: 313-745-5146
Practice Fax: 313-966-7305

Directions to “ CHARLES BRIAN PELSHAW MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.