Individual
DR. CHARLES F KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W. KINNICKINNIC RIVER PARKWAY, SUITE 370, MILWAUKEE, WI 53215
(414) 672-6006
(414) 672-6016
Mailing address
2801 W. KINNICKINNIC RIVER PARKWAY, SUITE 370, MILWAUKEE, WI 53215
(414) 672-6006
(414) 672-6016
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
46512020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340020435
MEDICARE RAILROAD
WI
05
—
34472100
—
WI
Enumeration date
03/09/2006
Last updated
05/02/2012
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