Individual
MR. JAY JOSEPH CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
635 MAIN ST, GREEN BAY, WI 54301-4918
(920) 593-2465
(920) 437-0276
Mailing address
635 MAIN ST, GREEN BAY, WI 54301-4918
(920) 593-2465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
97177
WI
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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