Individual
CHARLES W SCHAUBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21919
IA
207V00000X
Obstetrics & Gynecology Physician
24416
WI
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
24416
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30448700
—
WI
Enumeration date
06/10/2005
Last updated
07/07/2021
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