Individual
CHARLES A CAPASSO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1186 APPLETON RD, MENASHA, WI 54952-1906
(920) 727-8700
Mailing address
1186 APPLETON RD, MENASHA, WI 54952-1906
(920) 727-8700
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
22991
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30674300
—
WI
Enumeration date
09/12/2005
Last updated
07/08/2007
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