Individual
CHARLES D BLACKWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 CHICAGO AVENUE SOUTH, CHILDRENS HOSPITALS AND CLINICS EMERGENCY PHYSICIANS MP, MINNEAPOLIS, MN 55404
(612) 813-6111
Mailing address
2910 CENTRE POINTE DRIVE, 35-121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46524
MN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
46524
MN
208000000X
Pediatrics Physician
46524
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
46524
MN
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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