Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Edward Holtz Jr., IDMT

Individual provider Independent Duty Medical Technicians · NPI 1104050657

Charles Edward Holtz Jr., IDMT is an Independent Duty Medical Technicians in Grand Forks AFB, North Dakota. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1599 J St
Grand Forks AFB, ND 58205-6306
Phone: (701) 747-5504
Fax: (701) 747-5923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1104050657
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedMay 13, 2009
Last updated in NPPESMay 13, 2009

Other providers in Grand Forks AFB