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Charles W Tattersall, MD
Vascular Surgery Physician in Chesterton, Indiana
NPI 1629048913

Charles W Tattersall is a Vascular Surgery Physician based in Chesterton, IN and is specialized in Vascular Surgery. Charles W Tattersall practices in Chesterton, 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 261 Paul Revere Dr, Chesterton, IN and can be reached out via phone at 219-877-2225.

Location: 261 Paul Revere Dr, Chesterton, IN, 46304-9371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629048913
Provider Name
Charles W Tattersall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
261 Paul Revere Dr, Chesterton, IN, 46304-9371
Phone Number
219-877-2225
Fax Number
Provider Enumeration Date
01/26/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200487840 05 IN
institution
Provider Business Practice Location Address Details
Address
261 Paul Revere Dr
City
Chesterton
State
Indiana
Zip
46304-9371
Phone Number
219-877-2225
Fax Number
person
Provider Business Mailing Address Details
Address
261 Paul Revere Dr
City
Chesterton
State
Indiana
Zip
46304-9371
Phone Number
219-877-2225
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
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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