Individual
DR. CHARLES ALBIN TIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 1ST ST S, STE 108, VIRGINIA, MN 55792-2696
(218) 749-8326
(218) 749-8608
Mailing address
307 1ST ST S, STE 108, VIRGINIA, MN 55792-2696
(218) 749-8326
(218) 749-8608
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15922
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-02849
MEDICA
MN
01
—
77163TI
BCBS
MN
Enumeration date
07/07/2005
Last updated
01/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us