Organization
KAGEN DERMATOLOGY CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES NORMAN KAGEN M.D. (PHYSICIAN)
(920) 733-5138
Entity
Organization
Contact information
Practice address
100 W LAWRENCE ST, SUITE 409, APPLETON, WI 54911-5773
(920) 733-5138
(920) 733-3759
Mailing address
100 W LAWRENCE ST, SUITE 409, APPLETON, WI 54911-5773
(920) 733-5138
(920) 733-3759
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24388
WI
Other
Enumeration date
01/09/2007
Last updated
01/01/2026
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