Individual
MR. CHARLES T GORIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1575 N RIVER CENTER DR, MILWAUKEE, WI 53212
(414) 283-8444
(414) 283-8450
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1451-023
WI
Other
Enumeration date
08/20/2006
Last updated
03/07/2023
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