Organization
VASCULAR SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAM TATTERSALL M.D. (MEMBER - PRESIDENT)
(219) 877-2225
Entity
Organization
Contact information
Practice address
8865 W 400 N, SUITE 175, MICHIGAN CITY, IN 46360-9222
(219) 877-2225
(219) 877-2230
Mailing address
8865 W 400 N, SUITE 175, MICHIGAN CITY, IN 46360-9222
(219) 877-2225
(219) 877-2230
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
11/25/2008
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