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Dr. Charles Albert Dietz JR., MD
Vascular & Interventional Radiology Physician in Minneapolis, Minnesota
NPI 1982635165

Charles Albert Dietz JR. is a Vascular & Interventional Radiology Physician based in Minneapolis, MN and is specialized in Vascular & Interventional Radiology. Charles Albert Dietz JR. practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Charles Albert Dietz JR. is 1982635165 and holds a License No. 32379 (Minnesota).

The current practice location address for Charles Albert Dietz JR. is 516 Delaware Street Se, Minneapolis, MN and can be reached out via phone at 612-273-6004 and via fax at 612-273-8459.

Location: 516 Delaware Street Se, Minneapolis, MN, 55455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982635165
Provider Name
Charles Albert Dietz JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
516 Delaware Street Se, Minneapolis, MN, 55455
Phone Number
612-273-6004
Fax Number
612-273-8459
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16-09449 01 MN MEDICA CHOICE
868089 01 MN ARAZ
1010250 01 MN PREFERRED ONE
17Y63DI 01 MN BCBS
HP22169 01 MN HEALTHPARTNERS
0058344 05 MT
16-02032 01 MN MEDICA PRIMARY
869302100 01 MN MN MA
105551 01 MN UCARE
institution
Provider Business Practice Location Address Details
Address
516 Delaware Street Se
City
Minneapolis
State
Minnesota
Zip
55455
Phone Number
612-273-6004
Fax Number
612-273-8459
person
Provider Business Mailing Address Details
Address
516 Delaware Street Se
City
Minneapolis
State
Minnesota
Zip
55455
Phone Number
612-273-6004
Fax Number
612-273-8459
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
32379 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
32379 (Minnesota)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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