Individual
DR. CHARLES MCDONALD WARE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 E DAY RD, STE 200, MISHAWAKA, IN 46545-3444
(574) 271-5151
(574) 271-5175
Mailing address
270 E DAY RD, STE 200, MISHAWAKA, IN 46545-3444
(574) 271-5151
(574) 271-5175
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01041995
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092064
BC/BS (ANTHEM)
—
05
—
100409920
—
IN
01
—
200028305
RR MEDICARE
GA
Enumeration date
09/15/2005
Last updated
05/08/2008
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