NPI:
1700999711
Provider Name:
CHARLES TATTERSALL M D
Doing Business As: VSACULAR INTERVENTIONS, LLC
Classification:
Surgery - 2086S0129X
Entity Type:
Organization
Specialization: Vascular Surgery
Address:
8865 W 400 N
SUITE 175
MICHIGAN CITY, IN
ZIP 46360
Phone:
(219) 877-2225
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CHARLES TATTERSALL M D is a vascular surgery surgery in Michigan City, IN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CHARLES TATTERSALL M D NPI is 1700999711. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vsacular Interventions, Llc.
The provider's business location address is:
8865 W 400 N
SUITE 175
MICHIGAN CITY, IN
ZIP 46360-222
Phone: (219) 877-2225
Fax: (219) 877-2230
The provider's authorized official is Charles William Tattersall .
The authorized official title is Sole Member/president and has the following contact phone number (219) 877-2225.
The enumeration date for this NPI number is 8/16/2006 and was last updated on 6/25/2008.