Charles J Latendresse
NPI #1407030513 in Grundy Center, Iowa
Provider Information
- NPI Number
- 1407030513
- Entity Type
- Organization
- Organization Name
- Charles J Latendresse
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Dec 26, 2007
Practice Location
- Address
- 1506 G AVE
- City
- Grundy Center
- State
- Iowa
- ZIP Code
- 50638-1038
- Phone
- (319) 824-3181
Authorized Official
- Name
- DR. CHARLES J LATENDRESSE, MD
- Title
- OWNER
- Phone
- (319) 824-3181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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