Provider Demographics
NPI:1548215767
Name:FINNE, CHARLES O III (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:O
Last Name:FINNE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1055 WESTGATE DR
Mailing Address - Street 2:SUITE 190
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1065
Mailing Address - Country:US
Mailing Address - Phone:651-312-1500
Mailing Address - Fax:651-312-1595
Practice Address - Street 1:2800 CHICAGO AVE S
Practice Address - Street 2:SUITE 300
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1353
Practice Address - Country:US
Practice Address - Phone:651-225-7855
Practice Address - Fax:651-225-7878
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2010-02-26
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Provider Licenses
StateLicense IDTaxonomies
MN25240208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN757365100Medicaid
MN757365100Medicaid
MN280000008Medicare ID - Type Unspecified