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CHARLES A TIETZ MD FACOG LTD
NPI 1316158173
Obstetrics & Gynecology in Virginia, MN

Active since May 24, 2007
307 1ST ST S, STE108, VIRGINIA, MN 55792(218) 749-8326(218) 749-8608 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles A Tietz Md Facog Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES A TIETZ MD FACOG LTD (NPI 1316158173) is a healthcare organization registered as an obstetrics & gynecology in Virginia, Minnesota and active in the NPI registry since May 2007. The organization lists Polly Lalonde, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316158173
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCHARLES A TIETZ MD FACOG LTD
Location Address307 1ST ST S, STE108Virginia, MN 55792-2696
Mailing Address307 1st St S, Ste 108Virginia, MN 55792-2696 · (218) 749-8326 · Fax (218) 749-8608
Phone(218) 749-8326
Fax(218) 749-8608
Organization SubpartNo
Authorized OfficialPolly LalondeOffice Manager · (218) 749-8326
Enumeration DateMay 24, 2007
Last NPPES UpdateJanuary 14, 2008
✔ NPI 1316158173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 1287
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
307 1ST ST S, Virginia, MN 55792
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Other Identifiers 2

Medicare OSCAR/certificationC04655MN
Other01075TIMN · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VERNON LEE HANSON LICSW
Social Worker (Clinical)
307 1ST ST S
VIRGINIA, MN 55792
St. Louis County (218) 749-9789
DR. KATHLEEN SULENTICH M.D./F.A.C.O.G.
Specialist
307 1ST ST S, SUITE 112
VIRGINIA, MN 55792
St. Louis County (218) 741-6221
DR. CHARLES ALBIN TIETZ MD
Obstetrics & Gynecology
307 1ST ST S, STE 108
VIRGINIA, MN 55792
St. Louis County (218) 749-8326
KATHLEEN SULENTICH MD FACOG LTD
Obstetrics & Gynecology
307 1ST ST S, SUITE 112
VIRGINIA, MN 55792
St. Louis County (218) 741-6221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles A Tietz MD Facog Ltd's NPI number?

The NPI number for Charles A Tietz MD Facog Ltd is 1316158173. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Charles A Tietz MD Facog Ltd located?

Charles A Tietz MD Facog Ltd is located at 307 1st St S Ste108, Virginia, MN 55792. The listed phone number is (218) 749-8326.

What is Charles A Tietz MD Facog Ltd's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Charles A Tietz MD Facog Ltd was last updated on January 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.