Individual
CHARLES L WRESCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 POMFRET ST, PUTNAM, CT 06260-1835
(860) 928-0493
(860) 928-9255
Mailing address
21 WAINWRIGHT DR, WOODSTOCK, CT 06281-3030
(860) 928-5726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017561
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175611
—
CT
Enumeration date
07/20/2006
Last updated
08/12/2011
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