Charles Tietz, MD

NPI 1861499584 · on the registry since 2005 · sole proprietor

Practice

Address: 307 1st St S
Ste 108
Virginia, MN 55792
Phone: (218) 749-8326
Fax: (218) 749-8608
Organisation at this address: Charles A Tietz Md Facog Ltd
Kathleen Sulentich Md Facog Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207V00000X
207V00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota