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Individual

CHARLES A ERRICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2253 W MASON ST STE 100, GREEN BAY, WI 54303-4706
(920) 327-7000
(920) 327-7005
Mailing address
2253 W MASON ST STE 100, PO BOX 13097, GREEN BAY, WI 54307-3097
(920) 327-7000
(920) 327-7005

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17948
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104389413
MI
05
105176366
MI
01
180034994
RAILROAD
WI
05
30875300
WI
Enumeration date
06/19/2006
Last updated
03/27/2013
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