Individual
CHARLES LEO TREMAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 45TH AVE, SUITE 200, MUNSTER, IN 46321-3927
(219) 924-6544
(219) 922-8502
Mailing address
1950 45TH AVE, SUITE 200, MUNSTER, IN 46321-3927
(219) 924-6544
(219) 922-8502
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
01035537A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202530A
—
IN
Enumeration date
11/28/2006
Last updated
06/23/2010
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