NPI 1487656443

Charles William Bartholome, MD

Practitioner Dermatology Physician Muncie, IN

Practice location

Address: 1808 W Royale Dr, Muncie, IN 47304-2243
Phone: (765) 288-8188
Fax: (765) 282-7242

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 100348140 (IN)

Other Dermatology providers in Indiana →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 100348140 (IN)

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 100348140 (IN)

Registry record

NPI: 1487656443
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2005
Record last updated: 29 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.