Kagen Allergy Clinic S.c.

NPI 1205993946 - Allergy & Immunology - 207KA0200X

NPI Details
NPI 1205993946
Enumeration Date 01/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES N CHARLES
Position OWNER
Phone (920) 739-9100
Fax (920) 739-8779
Practice Location
100 W LAWRENCE ST
APPLETON WI, 54911-5773, US
Phone (920) 739-9100
Fax (920) 739-8779
Business Location
100 W LAWRENCE ST
APPLETON WI, 54911-5773, US
Phone (920) 739-9100
Fax (920) 739-8779
Toxanomy
Taxonomy Code 207KA0200X
License State Wisconsin
License Number 24388-020
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According to our database, Kagen Allergy Clinic S.c. NPI is 1205993946, taxonomy code is 207KA0200X and license number is 24388-020, license state is located at Wisconsin. Kagen Allergy Clinic S.c. physically located at 100 W Lawrence St, Appleton WI, 54911-5773. NPI Number 1033115704 has the healthcare provider type.

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1205993946 NPI number is provided on an as is basis without warranty of any kind. 1205993946 is maintained by the National Plan & Provider Enumeration System. The contents of Kagen Allergy Clinic S.c. are for informational purposes only.