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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES MIKOW, PAC

Active

CHARLES MIKOW, PAC is a Physician Assistant healthcare provider located in CHETEK, Wisconsin. NPI 1679672091 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHETEK, WI

Registration Details

NPI Number
1679672091
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2006 (19.88265052192 yrs)
Last Updated
Aug 19, 2013
License
411 (WI)

Practice Information

Address
220 DOUGLAS ST
CHETEK, WI, 547288953
Browse WI providers · Browse ZIP 54728
Phone
7159244811
Primary Specialty
Physician Assistant
363A00000X
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.