Individual
CHARLES E MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8096 W POTOMAC AVE, MILWAUKEE, WI 53218-4563
(414) 975-4448
Mailing address
4230 N OAKLAND AVE # 149, SHOREWOOD, WI 53211-2042
(414) 975-4448
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
WI
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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