Individual
ALEX JAMES CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 852-5193
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
60508
KY
208600000X
Surgery Physician
60951432
WA
208C00000X
Colon & Rectal Surgery Physician
87076-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
07/13/2026
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