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Charles Peterson, MD — NPI 1326025495, South Bend, IN | NPI Central

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NPI 1326025495

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Charles Peterson, MD

NPI 1326025495 · Vascular Surgery Physician · South Bend, IN

Provider details

NPI number: 1326025495
Entity type: Individual
Primary specialty: Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 01028400A (IN)

Specialties & taxonomies

Vascular Surgery PhysicianPrimary2086S0129XLicense 01028400A (IN)
Allopathic & Osteopathic Physicians

Practice location

621 Memorial Dr Ste 502

South Bend, IN 46601-1075

Phone: (574) 647-5875

Fax: (574) 647-5878

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

710 N Niles Ave

South Bend, IN 46617-1924

Additional practice locations (1)

500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Phone: (574) 389-5656

Registry dates

Enumerated: 2005-12-29
Last updated: 2021-07-08
Certified: 2021-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.