Individual
DR. CHARLES J HARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC OTOLARYNGOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6460
(414) 266-2693
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC OTOLARYNGOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6460
(414) 266-2693
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
25947
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005000261C
HUMANA
—
05
—
1275584773
—
WI
Enumeration date
05/12/2006
Last updated
10/17/2013
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