Individual
CHARLES HERMAN TEGELER IV
Active
Individual
CHARLES HERMAN TEGELER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
38221
NC
2084V0102X
Vascular Neurology Physician
38221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130025126
RR MEDICARE
—
05
—
2006823000
—
WV
01
—
48771
MEDCOST
—
01
—
5009152
AETNA
—
01
—
5617
PARTNERS
—
05
—
6100805
—
VA
01
—
82352
BCBS
—
05
—
8982352
—
NC
05
—
Q38221
—
SC
Enumeration date
12/20/2005
Last updated
11/12/2010
Update your record
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