Individual
CHARLES A HEUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N2166 MAPLE RD, ANTIGO, WI 54409-9014
(715) 623-5803
Mailing address
N2166 MAPLE RD, ANTIGO, WI 54409-9014
(715) 623-5803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18942-020
WI
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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