Individual
CHARLES R HATTEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7690 DISCOVERY DR, WEST CHESTER, OH 45069-6542
(513) 475-8521
(513) 475-7480
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35 057219
OH
207RC0000X
Cardiovascular Disease Physician
35.057219
OH
207RI0011X
Interventional Cardiology Physician
Primary
35057219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0917100
—
OH
05
—
200027280
—
IN
05
—
64864523
—
KY
Enumeration date
07/15/2005
Last updated
10/29/2019
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