CHARLES J LATENDRESSE

Family Medicine

Active Organization
NPI: 1407030513

Practice Address

1506 G AVE
Grundy Center, IA 50638

Phone: (319) 824-3181

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1407030513 is the National Provider Identifier for CHARLES J LATENDRESSE, a Family Medicine provider located in Grundy Center, IA. This NPI was enumerated on December 26, 2007.

Quick Facts

NPI
1407030513
Type
Organization
Enumerated
Dec 26, 2007
Last Updated
Dec 26, 2007

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