Individual
PROF. CHARLES ALBERT OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-5246
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(312) 996-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-074387
IL
2085R0202X
Diagnostic Radiology Physician
Primary
12103
ND
Other
Enumeration date
08/13/2006
Last updated
02/26/2019
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