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Individual

CHARLES JOHN LENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-5422
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56619
MN
207RC0000X
Cardiovascular Disease Physician
Primary
17494
ND
207RC0000X
Cardiovascular Disease Physician
56619
MN

Other

Enumeration date
06/26/2012
Last updated
03/31/2022
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