Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOLLIE A CHARON, MD
ActiveMOLLIE A CHARON, MD is a Family Medicine healthcare provider located in LAKE DELTON, Wisconsin. NPI 1013159508 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE DELTON, WI
Registration Details
- NPI Number
- 1013159508
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2009 (17.373749985255 yrs)
- Last Updated
- Dec 22, 2021
- License
-
64472-20 (WI)
Practice Information
- Address
-
530 WI DELLS PARKWAY SOUTHLAKE DELTON, WI, 53940Browse WI providers · Browse ZIP 53940
- Phone
- 6082545400
- Fax
- 6082538585
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.