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

CHARLES E PETERSON, MD

Active

CHARLES E PETERSON, MD is a Vascular Surgery healthcare provider located in SOUTH BEND, Indiana. NPI 1326025495 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · SOUTH BEND, IN

Registration Details

NPI Number
1326025495
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2005 (20.636059844881 yrs)
Last Updated
Jul 8, 2021
License
01028400A (IN)

Practice Information

Address
621 MEMORIAL DR STE 502
SOUTH BEND, IN, 466011075
Browse IN providers · Browse ZIP 46601
Phone
5746475875
Fax
5746475878
Primary Specialty
Vascular Surgery
2086S0129X

Other Vascular Surgery Providers in SOUTH BEND, IN

Name Credential NPI
GEORGE B FRIEND M.D. 1215914452
TIMOTHY W NOVEROSKE MD 1285611442
THOMAS L POULIN MD 1497732556
MICHAEL C ROTKIS MD 1134106297
KEVIN TAUBMAN M.D. 1811101132
MARIE E UNRUH MD 1013174648
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.