Individual
CHARLES E SAMMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 339-3038
(262) 674-1060
Mailing address
3545 MARTHA CT, WEST BEND, WI 53095-8792
(262) 339-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48218021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4209
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/20/2006
Last updated
08/25/2021
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