Individual
CHARLES A MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 N GREEN BAY RD, APPLETON, WI 54911-5516
(920) 428-6539
Mailing address
217 N GREEN BAY RD, APPLETON, WI 54911-5516
(920) 428-6539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21046-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30104100
—
WI
Enumeration date
09/15/2005
Last updated
04/25/2016
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