Individual
DR. CHARLES WILLIAM RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
104 E. OAK ST., GLENWOOD CITY, WI 54013-0039
(715) 265-4258
Mailing address
PO BOX 39, GLENWOOD CITY, WI 54013-0039
(715) 565-4325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001061-015
WI
1223G0001X
General Practice Dentistry
D7780
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33546300
—
WI
Enumeration date
10/17/2006
Last updated
07/08/2007
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