DR. Charles Albin Tietz, MD

NPI #1861499584 in Virginia, Minnesota

Provider Information

NPI Number
1861499584
Entity Type
Individual
Name
DR. Charles Albin Tietz, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Obstetrics & Gynecology
Credential
MD
Enumeration Date
Jul 7, 2005
Last Updated
Jan 14, 2008

Practice Location

Address
307 1ST ST S
Address 2
STE 108
ZIP Code
55792-2696
Phone
(218) 749-8326

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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