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Deactivated NPI 1356332035 Deactivated / Inactive NPI Male Practitioner

Dr. Charles A Laroque , MD

General Practice • Webster, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Laroque has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2005
NPI Deactivation Date January 07, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Laroque, MD was a registered General Practice practicing in Webster, WI. Throughout an active medical career spanning 15 years, Dr. Laroque provided care at the practice location at 4404 STATE ROAD 70 until profile deactivation on 2020-01-07.

Practice Location & Contact Primary Location

Practice Address

4404 State Road 70

Webster, WI 548939251

Telephone 7153498554
Fax 7153492559
Associated Practice Facility / Clinic
🏢 St. Croix Tribal Council Facility NPI 1346233350

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Webster, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Webster, WI (130 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 24562-020

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Paula Bird , RDH

Dental Hygienist

NPI 1003543026

Registered Dental Hygienist

Melody Bassett , RN

Registered Nurse

NPI 1033365747

Registered Nurse

Joshua Robinson , RN

Registered Nurse

NPI 1033414693

Registered Nurse

Dr. Jodine Anderson , DDS

Dentist - General Practice

NPI 1053522003

Doctor of Dental Surgery

Linda Ritchey , RN

Registered Nurse

NPI 1063294379

Registered Nurse

NPI 1073778858

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 07, 2020

Record deactivated on January 07, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4404 STATE ROAD 70, WEBSTER, WI 548939251 (Tel: 7153498554)

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Updated Business Mailing Address July 08, 2007

Registered at 198 JON CT, #3, SPOONER, WI 548017350 (Tel: 7156359683)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES LAROQUE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #24562-020 in WI)

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Initial NPI Registration & Enumeration November 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356332035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2005
Last Update: July 08, 2007
Deactivation Date: January 07, 2020

Mailing Address

198 Jon Ct, #3

Spooner, WI 548017350

Phone: 7156359683

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.