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NPI Code Detail

MEDICARE: CHARLES FLASKRUD

MEDICARE: CHARLES FLASKRUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1346182300
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES FLASKRUD
Provider Business Mailing Address
First Line : 130 2ND ST
Second Line :
City : NEENAH
State : WI
Zip : 54956-2883
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 2ND ST
Second Line :
City : NEENAH
State : WI
Zip : 54956-2883
Country : US
Telephone Number : 920-729-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ CHARLES FLASKRUD ” Practice Location

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