person
Charles W Tattersall, MD
Vascular Surgery Physician in Michigan City, Indiana
NPI 1629048913

Charles W Tattersall is a Vascular Surgery Physician based in Detroit, IN and is specialized in Vascular Surgery. Charles W Tattersall practices in Michigan City, IN and has the professional credentials of MD. The NPI Number for Charles W Tattersall is 1629048913 and holds a License No. 01059210A (Indiana).

The current practice location address for Charles W Tattersall is 8865 W 400 N Ste 175, Michigan City, IN and can be reached out via phone at 219-877-2225 and via fax at 219-877-2230. You can also correspond with Charles W Tattersall through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 8865 W 400 N Ste 175, Michigan City, IN, 48278-1076
person
Provider Profile Details
NPI Number
1629048913
Provider Name
Charles W Tattersall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8865 W 400 N Ste 175, Michigan City, IN, 48278-1076
Phone Number
219-877-2225
Fax Number
219-877-2230
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200487840 05 IN
institution
Provider Business Practice Location Address Details
Address
8865 W 400 N Ste 175
City
State
Zip
46360-9010
Phone Number
219-877-2225
Fax Number
219-877-2230
person
Provider Business Mailing Address Details
Address
Po Box 781076
City
State
Zip
48278-1076
Phone Number
317-528-4800
Fax Number
317-528-4800
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
01059210A (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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