Individual
NATHAN JON CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
425 PINE RIDGE BLVD STE 200, WAUSAU, WI 54401-4123
(715) 847-2130
(715) 847-2133
Mailing address
425 PINE RIDGE BLVD STE 200, WAUSAU, WI 54401-4123
(715) 847-0075
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
4301109365
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
62160-20
WI
Other
Enumeration date
05/14/2012
Last updated
04/03/2025
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