Individual
DR. CHARLES KENT MENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2900 S WISCONSIN AVE, RICE LAKE, WI 54868
(715) 234-2787
(715) 234-8920
Mailing address
2900 S WISCONSIN AVE, RICE LAKE, WI 54868
(715) 234-2787
(715) 234-8920
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01449
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38502500
—
WI
Enumeration date
08/21/2006
Last updated
02/25/2008
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