Individual
CHARLES PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 S MAPLE LN, WHITEWATER, WI 53190-3872
(240) 620-5784
Mailing address
192 S MAPLE LN, WHITEWATER, WI 53190-3872
(240) 620-5784
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
68869-20
WI
Other
Enumeration date
04/07/2016
Last updated
06/09/2025
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