Individual
DR. CHARLES REGINALD WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3230
(952) 993-1748
Mailing address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3230
(952) 933-1748
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
45496
MN
207T00000X
Neurological Surgery Physician
61864
WI
2086S0102X
Surgical Critical Care Physician
45496
MN
Other
Enumeration date
05/17/2006
Last updated
01/29/2024
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