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Jerald Dietrich Charles, PA-C
Physician Assistant in Green Bay, Wisconsin
NPI 1396284154

Jerald Dietrich Charles is a Physician Assistant based in Green Bay, WI. Jerald Dietrich Charles practices in Green Bay, WI and has the professional credentials of PA-C. The NPI Number for Jerald Dietrich Charles is 1396284154 and holds a License No. (Wisconsin).

The current practice location address for Jerald Dietrich Charles is 2845 Greenbrier Rd, Green Bay, WI and can be reached out via phone at 920-288-8320.

Location: 2845 Greenbrier Rd, Green Bay, WI, 54303-2728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396284154
Provider Name
Jerald Dietrich Charles
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2845 Greenbrier Rd, Green Bay, WI, 54303-2728
Phone Number
920-288-8320
Fax Number
Provider Enumeration Date
02/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100068010 05 WI
institution
Provider Business Practice Location Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-8320
Fax Number
person
Provider Business Mailing Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-8320
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
4028-023 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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