Individual
DR. CHARLES MACINTOSH CLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1026 7TH ST W, SAINT PAUL, MN 55102-3828
(651) 758-9500
Mailing address
5785 LAKE AVE, WHITE BEAR LAKE, MN 55110-2364
(612) 940-6512
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36504
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211067900
—
MN
05
—
31998000
—
WI
Enumeration date
11/25/2005
Last updated
08/21/2025
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