# DR. CHARLES T DURKEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588618805
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 20786 | WI | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 07/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000810342850 | PCHS | — |
| 01 | — | 006000261Y | HUMANA | — |
| 01 | — | 1335877 | UHC | — |
| 05 | — | 1588618805 | — | WI |
| 05 | — | 30359400 | — | WI |
| 01 | — | 340020411 | RAILROAD MEDICARE | — |
