Individual
CHARLES R RUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13900 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC, NEW BERLIN, WI 53151-9515
(262) 928-4500
Mailing address
13900 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC, NEW BERLIN, WI 53151-9515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036117488
IL
207Q00000X
Family Medicine Physician
Primary
48679-20
WI
Other
Enumeration date
10/19/2006
Last updated
04/20/2012
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