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Charles E Mckinzie, MD
Specialist in Alexandria, Minnesota
NPI 1811967094

Charles E Mckinzie is a Specialist based in Alexandria, MN. Charles E Mckinzie practices in Alexandria, MN and has the professional credentials of MD. The NPI Number for Charles E Mckinzie is 1811967094 and holds a License No. 025573 (Minnesota).

The current practice location address for Charles E Mckinzie is 1527 Broadway St, Alexandria, MN and can be reached out via phone at 320-762-0399 and via fax at 320-762-6847.

Location: 1527 Broadway St, Alexandria, MN, 56308-2537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811967094
Provider Name
Charles E Mckinzie
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1527 Broadway St, Alexandria, MN, 56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000145 01 MN PREFERRED ONE
HP27230 01 MN HEALTH PARTNERS
0702873 01 MN MEDICA
598328 01 MN AMERICA'S PPO
31T10MC 01 MN BLUE SHIELD
A003 01 MN CHAMPUS
institution
Provider Business Practice Location Address Details
Address
1527 Broadway St
City
Alexandria
State
Minnesota
Zip
56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
person
Provider Business Mailing Address Details
Address
1527 Broadway St
City
Alexandria
State
Minnesota
Zip
56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
025573 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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