Individual
DR. CHRISTOPHER J KUCHARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667
Mailing address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
52890-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004229
—
WI
01
—
391550037
MEDICARE
WI
01
—
52890
WI MEDICAL LICENSE
WI
Enumeration date
06/25/2008
Last updated
10/07/2020
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