Dr CHARLES D BANTLE DO is a male medical professional, specializing in Family Medicine. He graduated in 1986.
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC
1400 BELLINGER ST
EAU CLAIRE
WI
547035222
Tel: 7158385222
| Npi | 1689634107 |
| Pac Id | 5193619534 |
| Professional Enrollment Id | I20050712001098 |
| Last Name | BANTLE |
| First Name | CHARLES |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | OTHER |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC |
| Group Practice Pac Id | 4385553627 |
| Number Of Group Practice Members | 466 |
| Line 1 Street Address | 1400 BELLINGER ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 547035222 |
| Phone Number | 7158385222 |
| Hospital Affiliation Ccn 1 | 521302 |
| Hospital Affiliation Lbn 1 | MAYO CLINIC HEALTH SYSTEM OAKRIDGE |
| Hospital Affiliation Ccn 2 | 520070 |
| Hospital Affiliation Lbn 2 | MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL |
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| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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