CHARLES PETERSON, MD

Surgery - Vascular Surgery

Active Individual
NPI: 1326025495

Practice Address

621 MEMORIAL DR STE 502
South Bend, IN 46601

Phone: (574) 647-5875

Specialties

Specialty Code Primary License
Surgery - Vascular Surgery 2086S0129X Yes 01028400A (IN)

Frequently Asked Questions

NPI 1326025495 is the National Provider Identifier for CHARLES PETERSON, MD, a Surgery - Vascular Surgery provider located in South Bend, IN. This NPI was enumerated on December 29, 2005.
CHARLES PETERSON, MD practices at 621 MEMORIAL DR STE 502, South Bend, IN 46601.

Quick Facts

NPI
1326025495
Type
Individual
Enumerated
Dec 29, 2005
Last Updated
Jul 8, 2021

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