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NPI 1902106727

IndividualActive

Charles Dixon

NPI 1902106727 · Driver · Detroit, MI

Provider details

NPI number: 1902106727
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: No
License: D250115108270 (MI)

Practice location

5536 S Clarendon St

Detroit, MI 48204-2929

Phone: (313) 510-3961

More MI providers

Mailing address

5536 S Clarendon St

Detroit, MI 48204-2929

Registry dates

Enumerated: 2010-10-26
Last updated: 2010-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Charles Dixon — NPI 1902106727, Detroit, MI | NPI Central