Individual
MR. CHARLES EDWARD WERNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4200
(812) 602-3174
Mailing address
PO BOX 637273, CINCINNATI, OH 45263-7273
(812) 842-4260
(812) 602-3174
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01084889A
IN
207V00000X
Obstetrics & Gynecology Physician
4301064604
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01084889A
IN MEDICAL LICENSE
IN
01
—
1605623981
BCBSM
MI
05
—
3084505
—
MI
Enumeration date
11/16/2006
Last updated
11/09/2020
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