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Individual

DR. CHARLES R. ALDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
(715) 847-2775
Mailing address
4405 N LAKESHORE DR, WAUSAU, WI 54401-7417
(715) 359-9824

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26085
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30600600
WI
Enumeration date
08/11/2005
Last updated
01/28/2008
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