Individual
MR. CHARLES WIATR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 CREST VIEW DR, HUDSON, WI 54016-9487
(715) 386-1345
Mailing address
2222 CREST VIEW DR, HUDSON, WI 54016-9487
(715) 386-1345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1213740
WI
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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