Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | G49725 | CA |
NPI | 1033115266 |
---|---|
Provider Name | Charles Joseph Wrobel |
First Address | Bakersfield, CA 93311-3611 |
Second Address | Bakersfield, CA 93311-3611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G497251 | BLUE SHIELD (01) | CA |
00G497252 | (05) | CA |
E02690 | (02) | CA |
G49725 | BLUE CROSS (01) | CA |
P00141525 | RAILROAD MEDICARE (01) | CA |