Individual
DR. CHARLES R DUDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3110 GILBERT ST, MARINETTE, WI 54143-1934
(715) 732-4018
(715) 735-6864
Mailing address
3110 GILBERT ST, MARINETTE, WI 54143-1934
(715) 732-4018
(715) 735-6864
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3119-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200808401011
BCBS GROUP #
WI
05
—
38999700
—
WI
05
—
4724161
—
MI
Enumeration date
05/10/2006
Last updated
07/08/2007
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