Individual
DR. CHARLES E MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S MAIN ST, SUITE 108, MISHAWAKA, IN 46544-2159
(574) 255-3108
(574) 255-3100
Mailing address
303 S MAIN ST, SUITE 108, MISHAWAKA, IN 46544-2159
(574) 255-3108
(574) 255-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01025417
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222130
—
IN
Enumeration date
09/26/2005
Last updated
07/16/2008
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