Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles W Tattersall, MD

Individual provider Vascular Surgery Physician · NPI 1629048913

Charles W Tattersall, MD is a Vascular Surgery Physician in Chesterton, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

261 Paul Revere Dr
Chesterton, IN 46304-9371
Phone: (219) 877-2225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8865 W 400 N Ste 175, Michigan City, IN 46360-9010 — (219) 877-2225

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 01059210A (IN)

Record details

NPI number1629048913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 26, 2006
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024
Mailing address261 Paul Revere Dr, Chesterton, IN 46304-9371

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