Individual
CHARLES D WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1000
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(715) 258-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53840-20
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036109776
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36109776
—
IL
Enumeration date
07/03/2006
Last updated
05/13/2025
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