Charles E Peterson, MD is a vascular surgery surgery in South Bend, IN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Charles E Peterson, MD NPI is 1326025495. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
621 MEMORIAL DR STE 502
SOUTH BEND, IN
ZIP 46601-075
Phone: (574) 647-5875
Fax: (574) 647-5878
The NPI 1326025495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/8/2021.