Individual
CHARLES P. WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1534 ELIZABETH AVENUE, SHREEPORT, LA 71101
(318) 673-8320
(318) 673-8370
Mailing address
1534 ELIZABETH AVENUE, SHREEPORT, LA 71101
(318) 673-8320
(318) 673-8370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14301R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103829
—
LA
Enumeration date
09/29/2006
Last updated
12/19/2007
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