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1750460200
CHARLES H TIBER
MILWAUKEE, WI
NPI
1750460200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: WI 23272)
Enumeration Date
2006-11-03
Last Update Date
2012-06-04
Business Address
-- CHARLES H TIBER MD
2350 N LAKE DR #100
MILWAUKEE, WI 53211-4528
Phone number: 414-298-7250
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Mailing Address
-- CHARLES H TIBER MD
4425 N PORT WASHINGTON RD ATTN: CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-319-3000
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