Individual
DR. CHARLES T DURKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC UROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3794
(414) 266-1752
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC UROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3794
(414) 266-1752
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20786
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810342850
PCHS
—
01
—
006000261Y
HUMANA
—
01
—
1335877
UHC
—
05
—
1588618805
—
WI
05
—
30359400
—
WI
01
—
340020411
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
07/10/2012
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