Individual
DR. CHARLENE ANN NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
PO BOX 1086, LA CROSSE, WI 54602-1086
(608) 567-9715
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
10775-33
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
10775-33
WI
Other
Enumeration date
03/16/2021
Last updated
08/30/2021
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