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Individual
DR. CHARLES MILO HALVERSON
Active
Individual
DR. CHARLES MILO HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
226
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480022397
RR MEDICARE
—
01
—
480022398
RR MEDICARE
—
05
—
91174800200
—
NE
Enumeration date
10/13/2006
Last updated
12/04/2024
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