Individual
CHARLES BEHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
801 W MADISON ST, WATERLOO, WI 53594-1379
(920) 390-7290
Mailing address
710 RIDGE ST APT 206, MADISON, WI 53705-3641
(414) 366-6015
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1727133
WI
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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