Individual
CHARLES KENDALL BERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 MAPLE LN STE 1, ASHLAND, WI 54806-3610
(715) 685-7500
Mailing address
1615 MAPLE LN STE 1, ASHLAND, WI 54806-3610
(715) 685-7500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
28487
MN
208600000X
Surgery Physician
Primary
52179
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755288200
—
MN
Enumeration date
06/19/2006
Last updated
05/23/2016
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