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NPI Code Detail

MEDICARE: CHARLES R HATTEMER MD

MEDICARE:   CHARLES R HATTEMER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35 057219OH
2207RC0000XCardiovascular Disease Physician35.057219OH
3207RI0011XInterventional Cardiology Physician35057219OH

Other Identifiers

General Provider Information

NPI Number : 1093714750
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES R HATTEMER MD
Provider Business Mailing Address
First Line : PO BOX 636256 CENTRAL CREDENTIALING
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6256
Country : US
Telephone Number : 513-245-3104
Fax Number : 513-585-5511
Provider Business Practice Location Address
First Line : 7690 DISCOVERY DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6542
Country : US
Telephone Number : 513-475-8521
Fax Number : 513-475-7480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 10/29/2019

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Directions to “ CHARLES R HATTEMER MD” Practice Location

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