Individual
CHARLES MENSAH KORANKYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 457-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55667-20
WI
207Q00000X
Family Medicine Physician
R8400
IA
Other
Enumeration date
07/21/2008
Last updated
09/15/2016
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