Dietz, Charles Albert
Dietz, Charles Albert is an individual health care provider with primary practice located at 516 Delaware Street Se Pwb 1St Fl Cinic 1D University Of Minnesota Physicians, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dietz, Charles Albert can be contacted via phone (612) 273-6004.Contact Information
Primary practice address
516 Delaware Street Se Pwb 1St Fl Cinic 1D University Of Minnesota Physicians
Minneapolis MN 55455
Phone: (612) 273-6004
Fax: (612) 273-8459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 32379 | Minnesota |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 32379 | Minnesota |
Profile Details
| NPI number | 1982635165 |
|---|---|
| LBN Legal business name | Dietz, Charles Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | May 1st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982635165 | NPPES |
| Minnesota | Other | 16-09449 | MEDICA CHOICE |
| Minnesota | Other | 868089 | MEDICA CHOICE |
| Minnesota | Other | 1010250 | MEDICA CHOICE |
| Minnesota | Other | 17Y63DI | MEDICA CHOICE |
| Minnesota | Other | HP22169 | MEDICA CHOICE |
| Minnesota | MEDICAID | 0058344 | MEDICA CHOICE |
| Minnesota | Other | 16-02032 | MEDICA CHOICE |
| Minnesota | Other | 869302100 | MEDICA CHOICE |
| Minnesota | Other | 105551 | MEDICA CHOICE |
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