Charles Albert Dietz in Minneapolis - Vascular & Interventional Radiology

Charles Albert Dietz - NPI 1982635165

Charles Albert Dietz is a Vascular & Interventional Radiology in Minneapolis, Minnesota. Charles Albert Dietz practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Charles Albert Dietz is 1982635165. The last update date is 2012-05-01.

Charles Albert Dietz's current location address is 420 Delaware Street Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126263345. The mailing address for Charles Albert Dietz is 420 Delaware Street Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Albert Dietz
Address 420 Delaware Street Se, Minneapolis, Minnesota
Phone Number 6126263345
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1982635165
Provider Enumeration Date 2006-07-05
Last Updated Date 2012-05-01

Provider Mailing Address Detail

Address 420 Delaware Street Se
City Minneapolis
State Minnesota (MN)
Post Code 55455
Phone Number 6126263345
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No 32379
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16-09449 MN MEDICA CHOICE
868089 MN ARAZ
1010250 MN PREFERRED ONE
17Y63DI MN BCBS
HP22169 MN HEALTHPARTNERS
58344 MT --
16-02032 MN MEDICA PRIMARY
869302100 MN MN MA
105551 MN UCARE

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FAQs about Charles Albert Dietz

What is the unique 10-digit identifier code assigned to Charles Albert Dietz by the Centers for Medicare & Medicaid Services?

The Charles Albert Dietz has been issued the NPI (National Provider Identifier) 1982635165 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Charles Albert Dietz is physically located?

The Charles Albert Dietz is physically situated at the following address: 420 Delaware Street Se, Minneapolis, MN, 55455.

What is the Charles Albert Dietz's area of specialization and corresponding taxonomy classification?

The Charles Albert Dietz's specialty field is Vascular & Interventional Radiology, and it falls under the taxonomy code 2085R0204X, which categorizes healthcare providers based on their specialties.

On what date did the Charles Albert Dietz receive its 1982635165 assignment from the Centers for Medicare & Medicaid Services?

The Charles Albert Dietz was assigned its 1982635165 by the Centers for Medicare & Medicaid Services on 2006-07-05.

As of what date was the information regarding Charles Albert Dietz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Albert Dietz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-05-01.

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