Individual
SUSAN A CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 S PARK ST, DEAN MEDICAL CENTER, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2976
Mailing address
700 S PARK ST, DEAN MEDICAL CENTER, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43538-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194773275
—
WI
Enumeration date
05/04/2006
Last updated
10/12/2021
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