Charles A Tietz Md Facog Ltd in Virginia - Obstetrics & Gynecology

Charles A Tietz Md Facog Ltd - NPI 1316158173

Charles A Tietz Md Facog Ltd is a Obstetrics & Gynecology in Virginia, Minnesota. Charles A Tietz Md Facog Ltd practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Charles A Tietz Md Facog Ltd is 1316158173. The last update date is 2008-01-14.

Charles A Tietz Md Facog Ltd's current location address is 307 1st St S, Virginia, Minnesota. You can contact this provider via phone number 2187498326 and fax number 2187498608. The mailing address for Charles A Tietz Md Facog Ltd is 307 1st St S, Virginia, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charles A Tietz Md Facog Ltd
Address 307 1st St S, Virginia, Minnesota
Phone Number 2187498326
Fax Number 2187498608
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Lalonde Polly
Telephone Number 2187498326

NPI Number Detail

NPI Number 1316158173
Provider Enumeration Date 2007-05-24
Last Updated Date 2008-01-14

Provider Mailing Address Detail

Address 307 1st St S
City Virginia
State Minnesota (MN)
Post Code 557922696
Phone Number 2187498326
Fax Number 2187498608

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 1287
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
01075TI MN BCBS

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FAQs about Charles A Tietz Md Facog Ltd

What is the Charles A Tietz Md Facog Ltd's unique identification number?

The Charles A Tietz Md Facog Ltd has been assigned the NPI (National Provider Identifier) Number 1316158173 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Charles A Tietz Md Facog Ltd?

The Charles A Tietz Md Facog Ltd is situated at 307 1St St S, in the city of Virginia, state of MN, with the zip code 557922696.

What is the Charles A Tietz Md Facog Ltd's specialty and taxonomy code?

The Charles A Tietz Md Facog Ltd's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.

When did the Charles A Tietz Md Facog Ltd receive its 1316158173?

The Charles A Tietz Md Facog Ltd was issued its 1316158173 on 2007-05-24, which is the date when the organization was assigned this unique identifier.

As of what date were the Charles A Tietz Md Facog Ltd's details last updated?

The information pertaining to the Charles A Tietz Md Facog Ltd, including its address, specialty, and other details, was most recently updated on 2008-01-14.

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