Individual
RONALD WILLIAM CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1610 W TOWNLINE ST, CRESTON, IA 50801-1066
(641) 782-3887
(641) 782-3504
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27934
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002105
—
IA
05
—
0283465
—
IA
05
—
0293522
—
IA
01
—
03187
BCBS
IA
05
—
0424507
—
IA
05
—
0600460
—
IA
05
—
0635011
—
IA
05
—
0655001
—
IA
01
—
163495
WMC FPC MEDICARE
IA
01
—
29352
WMC BCBS ER
IA
01
—
33444
WMC FPC-BCBS
IA
01
—
36174
WMC-BCBS DME
IA
01
—
60046
WMC BCBS
IA
01
—
66046
WMC BCBS SNF
IA
01
—
DA 1838
WMC FPC-MEDICARE RR
IA
Enumeration date
01/23/2006
Last updated
10/19/2015
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