Individual
DR. CHARLES E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
(715) 635-6470
Mailing address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
(715) 635-6470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38077
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32286600
—
WI
Enumeration date
08/23/2006
Last updated
03/07/2023
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