Individual
CHARLES E SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O, MS
Contact information
Practice address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-4200
Mailing address
3100 SHORE DRIVE, MARINETTE, WI 54143
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
42908-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42908-021
LICENSE
WI
Enumeration date
03/29/2007
Last updated
05/09/2016
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