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NPI Code Detail

MEDICARE: CHARLES A PAPP DO

MEDICARE: CHARLES A PAPP DO
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
1207P00000XEmergency Medicine Physician5101009554MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972586311
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES A PAPP DO
Provider Business Mailing Address
First Line : 1721 S STEPHENSON AVE
Second Line : PO BOX 549
City : IRON MOUNTAIN
State : MI
Zip : 49801-3637
Country : US
Telephone Number : 906-774-1313
Fax Number : 906-776-5639
Provider Business Practice Location Address
First Line : 1721 S STEPHENSON AVE
Second Line :
City : IRON MOUNTAIN
State : MI
Zip : 49801-3637
Country : US
Telephone Number : 906-774-1313
Fax Number : 906-776-5639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 12/13/2007

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Directions to “ CHARLES A PAPP DO” Practice Location

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