Gensmer, Charles Owen

Gensmer, Charles Owen is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gensmer, Charles Owen can be contacted via phone (763) 236-8992.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522
Phone: (763) 236-8992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 26057 Minnesota
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 26057 Minnesota

Profile Details

NPI number 1356497150
LBN Legal business name Gensmer, Charles Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 10th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356497150 NPPES
Minnesota MEDICAID 829802500

Popular Providers