Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES GENGHIS LINE, MD
ActiveCHARLES GENGHIS LINE, MD is a Family Medicine healthcare provider located in CLARKSTON, Michigan. NPI 1881818615 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CLARKSTON, MI
Registration Details
- NPI Number
- 1881818615
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2007 (19.194279299456 yrs)
- Last Updated
- Dec 16, 2011
- Licenses
-
0101241384 (VA)4301095854 (MI)
Practice Information
- Address
-
6483 CITATION DRSUITE BCLARKSTON, MI, 483462994Browse MI providers · Browse ZIP 48346
- Phone
- 2489223074
- Fax
- 2489223081
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CLARKSTON, MI
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY R ONEILL | DO | 1033117890 |
| LISA DIETZ | DO | 1629067541 |
| DR. RICARDO Q. CABRERA | M.D. | 1801875943 |
| DR. JEETENDER SINGH MATHARU | M.D. | 1255310397 |
| DR. JOSEPH P LAJOIE | D.O. | 1932179835 |
| DR. LORI A. LAJOIE | D.O. | 1689624058 |
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.