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Charles A Tietz Md Facog Ltd
Obstetrics & Gynecology Physician in Virginia, Minnesota
NPI 1316158173

Charles A Tietz Md Facog Ltd is a Obstetrics & Gynecology Physician based in Virginia, MN. Charles A Tietz Md Facog Ltd practices in Virginia, MN. The NPI Number for Charles A Tietz Md Facog Ltd is 1316158173 and holds a License No. 1287 (Minnesota).

The current practice location address for Charles A Tietz Md Facog Ltd is 307 1St St S, Virginia, MN and can be reached out via phone at 218-749-8326 and via fax at 218-749-8608.

Location: 307 1St St S, Virginia, MN, 55792-2696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316158173
Provider Name
Charles A Tietz Md Facog Ltd
Credential
Provider Entity Type
Organization
Address
307 1St St S, Virginia, MN, 55792-2696
Phone Number
218-749-8326
Fax Number
218-749-8608
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01075TI 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
307 1St St S
City
Virginia
State
Minnesota
Zip
55792-2696
Phone Number
218-749-8326
Fax Number
218-749-8608
person
Provider Business Mailing Address Details
Address
307 1St St S
City
Virginia
State
Minnesota
Zip
55792-2696
Phone Number
218-749-8326
Fax Number
218-749-8608
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
1287 (Minnesota)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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307 1St St S,
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55792-2696
218-749-8326
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