DR. Charles William Bartholome, MD

NPI #1487656443 in Muncie, Indiana

Provider Information

NPI Number: 1487656443
Entity Type: Individual
Name: DR. Charles William Bartholome, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jun 2, 2005
Last Updated: May 29, 2008

Practice Location

Address: 1808 W ROYALE DR
City: Muncie
State: Indiana
ZIP Code: 47304-2243
Phone: (765) 288-8188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X

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