person
Charles E Peterson, MD
Vascular Surgery Physician in South Bend, Indiana
NPI 1326025495

Charles E Peterson is a Vascular Surgery Physician based in South Bend, IN and is specialized in Vascular Surgery. Charles E Peterson practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Charles E Peterson is 1326025495 and holds a License No. 01028400A (Indiana).

The current practice location address for Charles E Peterson is 621 Memorial Dr Ste 502, South Bend, IN and can be reached out via phone at 574-647-5875 and via fax at 574-647-5878.

Location: 621 Memorial Dr Ste 502, South Bend, IN, 46617-1924
person
Provider Profile Details
NPI Number
1326025495
Provider Name
Charles E Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
621 Memorial Dr Ste 502, South Bend, IN, 46617-1924
Phone Number
574-647-5875
Fax Number
574-647-5878
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 502
City
State
Zip
46601-1075
Phone Number
574-647-5875
Fax Number
574-647-5878
person
Provider Business Mailing Address Details
Address
621 Memorial Dr Ste 502
City
State
Zip
46601-1075
Phone Number
574-647-5875
Fax Number
574-647-5878
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
01028400A (Indiana)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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