Provider Demographics
NPI:1053317495
Name:UHLER, CHARLES TODD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:TODD
Last Name:UHLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 S MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-2515
Mailing Address - Country:US
Mailing Address - Phone:507-931-6080
Mailing Address - Fax:
Practice Address - Street 1:117 S MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:ST PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2515
Practice Address - Country:US
Practice Address - Phone:507-931-6080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN359000090Medicare ID - Type Unspecified