CHARLES A DIETZ JR, MD, Diagnostic Radiology MINNEAPOLIS, MN

Contact Information

CHARLES A DIETZ JR, MD

516 DELAWARE STREET SE
PWB 1ST FL CINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455

Phone: 612-273-6004
Fax: 612-273-8459
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for CHARLES A DIETZ JR · (Male)

NPI #	`1982635165`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/05/2006
Last updated	05/01/2012 - About 14 years ago
Sole proprietor ¹	No
Identifiers	MN License # 32379 MT Medicaid 0058344 MN Other 868089 ARAZ MN Other 17Y63DI BCBS MN Other HP22169 HEALTHPARTNERS MN Other 16-09449 MEDICA CHOICE MN Other 16-02032 MEDICA PRIMARY MN Other 869302100 MN MA MN Other 1010250 PREFERRED ONE MN Other 105551 UCARE
Hospital affiliation(s)	HENNEPIN COUNTY MEDICAL CENTER - (Acute Care) 701 PARK AVENUE MINNEAPOLIS, MN 55415 NORTH MEMORIAL MEDICAL CENTER - (Acute Care) 3300 OAKDALE NORTH ROBBINSDALE, MN 55422 UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care) 2450 RIVERSIDE AVENUE MINNEAPOLIS, MN 55454

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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CHARLES A DIETZ JR, MD – NPI #1982635165Diagnostic Radiology

Contact Information

Specialty

Diagnostic Radiology

Vascular & Interventional Radiology

NPI Profile & details for CHARLES A DIETZ JR · (Male)

Reviews for CHARLES A DIETZ JR

CHARLES A DIETZ JR, MD – NPI #1982635165
Diagnostic Radiology