CHARLES L BOURSIER

PORTAGE, WI
NPI1619950888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WI  43764020)
Enumeration Date2005-11-22
Last Update Date2012-01-30
Business Address
-- CHARLES L BOURSIER MD
2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901-0387
Phone number: 608-742-4131
Mailing Address
-- CHARLES L BOURSIER MD
2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901-0387
Phone number: 608-742-4131
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