Individual
DR. CHARLES R MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 W 66TH ST, RICHFIELD, MN 55423-2304
(612) 798-8800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22208
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401463
MEDICA HEALTH PLAN
MN
05
—
104888100
—
MN
01
—
11479ME
BCBS OF MINNESOTA
MN
Enumeration date
06/21/2005
Last updated
02/27/2014
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