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Individual

DR. CHARLES J ENGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698
Mailing address
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
24295
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30431300
WI
Enumeration date
05/10/2007
Last updated
07/08/2007
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