BRUCE LAUREN CHAROUS M.D.
Allergy and Immunology
Milwaukee, Wisconsin
Provider NPI: 1356387419
Provider Information:BRUCE LAUREN CHAROUS M.D.
Practice Location:
3003 W GOOD HOPE RD MILWAUKEE, WI 53209 US
Tel: 414-352-3100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | WI | 26268 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RR MEDICARE | P01142239 | WI | 01 |
| 30596100 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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