Individual
DR. CHARLES CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1041
Mailing address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1041
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18856020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31243800
—
WI
Enumeration date
08/01/2006
Last updated
08/10/2009
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