DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES J LATENDRESSE, MD

Active Sole Proprietor

CHARLES J LATENDRESSE, MD is a Family Medicine healthcare provider located in GRUNDY CENTER, Iowa. NPI 1245227743 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRUNDY CENTER, IA

Registration Details

NPI Number
1245227743
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2005 (20.689907830153 yrs)
Last Updated
Oct 14, 2016
License
21831 (IA)
Sole Proprietor
Yes

Practice Information

Address
1506 G AVE
GRUNDY CENTER, IA, 506381038
Browse IA providers · Browse ZIP 50638
Phone
3198243181
Fax
3198246680
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GRUNDY CENTER, IA

Name Credential NPI
DR. FRANK LEE LAMP M.D. 1366424970
ERIC F OPHEIM DO 1437138385
SAMANTHA MARIE BANSER BISSEN DO 1245769249
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.