Individual
CHARLES C CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8289
(920) 832-0444
Mailing address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8289
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43500 020
WI
2086X0206X
Surgical Oncology Physician
43500 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34128600
—
WI
Enumeration date
08/16/2005
Last updated
07/22/2025
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