Individual
DR. CHARLES JOHN HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
21721
WI
2083X0100X
Occupational Medicine Physician
Primary
24683
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32418300
—
WI
05
—
925065400
—
MN
Enumeration date
12/07/2005
Last updated
02/14/2011
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