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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLY EDSALL

Active

CHARLY EDSALL is a Specialist/Technologist, Pathology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1255830113 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Pathology · GRAND RAPIDS, MI

Registration Details

NPI Number
1255830113
Provider Type
Individual
Gender
Female
NPI Issued
Feb 6, 2018 (8.5288365512562 yrs)
Last Updated
Jan 9, 2024
License
7152000800 (MI)

Practice Information

Address
3361 36TH ST SE
GRAND RAPIDS, MI, 495122809
Browse MI providers · Browse ZIP 49512
Phone
6169422522
Primary Specialty
Specialist/Technologist, Pathology
246Q00000X

Other Specialist/Technologist, Pathology Providers in GRAND RAPIDS, MI

Name Credential NPI
CAMERON BERGHORST 1831980440
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.