Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES W TATTERSALL, M.D.
Active Sole ProprietorCHARLES W TATTERSALL, M.D. is a Vascular Surgery healthcare provider located in CHESTERTON, Indiana. NPI 1629048913 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · CHESTERTON, IN
Registration Details
- NPI Number
- 1629048913
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2006 (20.586005448402 yrs)
- Last Updated
- Nov 8, 2024
- License
-
01059210A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
261 PAUL REVERE DRCHESTERTON, IN, 463049371Browse IN providers · Browse ZIP 46304
- Phone
- 2198772225
- Primary Specialty
-
Vascular Surgery
2086S0129X
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.