CHARLES W TATTERSALL M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1629048913- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 261 PAUL REVERE DR, CHESTERTON, IN, 463049371
- Phone
- (219) 877-2225
Specialties & Taxonomies
Unknown
Primary License: IN #01059210A