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Individual

DR. CHARLES W DAESCHNER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
38754
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2672B
BCBS NC
NC
01
830006204
RAILROAD MEDICARE
NC
05
892672B
NC
Enumeration date
07/29/2005
Last updated
11/02/2011
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