Charles Mikow, PAC

NPI #1679672091 in Chetek, Wisconsin

Provider Information

NPI Number: 1679672091
Entity Type: Individual
Name: Charles Mikow, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 22, 2006
Last Updated: Aug 19, 2013

Practice Location

Address: 220 DOUGLAS ST
City: Chetek
State: Wisconsin
ZIP Code: 54728-8953
Phone: (715) 924-4811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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