Individual
DR. CHARLES F SCHLEEVOGT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 453-5404
(920) 803-2990
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 453-5404
(920) 803-2990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34013020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31998400
—
WI
01
—
3343832590007
BLUE CROSS
WI
Enumeration date
03/10/2006
Last updated
07/08/2007
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