CHARLES A WIDEBURG

FRANKLIN, WI
NPI1417936998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WI  24439-020)
Enumeration Date2006-01-12
Last Update Date2011-11-11
Business Address
Dr. CHARLES A WIDEBURG M.D.
10101 S 27TH ST
FRANKLIN, WI 53132-7209
Phone number: 414-817-5800
Mailing Address
Dr. CHARLES A WIDEBURG M.D.
210 N TUSTIN AVE
SANTA ANA, CA 92705-3807
Phone number: 714-347-1010
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