Individual
CHARLES FEHRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MEDICAL COLLEGE OF WISCONSIN, DEPARTMENT OF SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8632
Mailing address
9252 N GREEN BAY RD, FL 2, BROWN DEER, WI 53209-1104
(414) 270-8150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
64365
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
08/03/2020
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