Organization
VASCULAR INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W TATTERSALL MD (OWNER)
(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
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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