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

Dr. Charles Albert Dietz Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1982635165

Dr. Charles Albert Dietz Jr., MD is a Diagnostic Radiology in Minneapolis, Minnesota. Graduated from Ohio State University College of Medicine in 1987, 39 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
39
Trained at
Ohio State University College of Medicine
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

516 Delaware Street SE Pwb 1st Fl Cinic 1D University OF Minnesota Physicians
Minneapolis, MN 55455
Phone: (612) 273-6004
Fax: (612) 273-8459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 32379 (MN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 32379 (MN)

Record details

NPI number1982635165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMay 1, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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