CHARLES E PETERSON MD
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1326025495- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 621 MEMORIAL DR STE 502, SOUTH BEND, IN, 466011075
- Phone
- (574) 647-5875
- Fax
- (574) 647-5878
Specialties & Taxonomies
Unknown
Primary License: IN #01028400A