Individual
CHARLES MICHAEL LABUWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 MOUNTAIN VIEW BLVD, KLAMATH FALLS, OR 97601-1134
(541) 883-3591
(541) 883-2886
Mailing address
2310 MOUNTAIN VIEW BLVD, KLAMATH FALLS, OR 97601-1134
(541) 883-3591
(541) 883-2886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11278
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005082
—
OR
01
—
XPY183282
MEDICAL OF CALIFORNIA
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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