Individual
DR. CHARLES CARODENUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4550
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29824
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559578900
—
MN
Enumeration date
12/30/2005
Last updated
10/20/2011
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