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General NPI Number Information
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NPI Number | 1104897107
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Entity Type | Individual
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Provider Name | MICHELLE CHARTIER D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2006
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 8881 M 119
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City | HARBOR SPRINGS
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State | MI
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Zip | 49740-9816
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Country | US
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Telephone | 231-347-5400
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Fax | 231-348-2515
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Provider Business Mailing Address
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Address Line | 1105 SIXTH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2386
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Country | US
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Telephone |
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Fax | 734-789-1520
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101013074
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License Number State | MI
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