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Individual

DR. CHARLES R. TRIBBETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 W HARRISON STREET, MONTICELLO, IN 47960-0000
(574) 240-1111
(574) 240-1113
Mailing address
301 W HARRISON ST, MONTICELLO, IN 47960-2211
(574) 208-5505
(574) 208-5507

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036854A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201351020A
IN
01
E39369
MEDICARE
IN
Enumeration date
11/17/2005
Last updated
04/24/2026
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