MEDICARE: DR. CHARLES RICHARD JORGENSEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	16540	MN

General Provider Information

NPI Number	:	1588729297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES RICHARD JORGENSEN M.D.

Provider Business Mailing Address
First Line	:	1615 E RIVER PKWY
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-3627
Country	:	US
Telephone Number	:	612-332-1140
Fax Number	:	612-672-9596

Provider Business Practice Location Address
First Line	:	1615 E RIVER PKWY
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-3627
Country	:	US
Telephone Number	:	612-332-1140
Fax Number	:	612-672-9596

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	12/28/2025

Similar Medicare Providers

1740011295 — JAMIYA CRAYTON
Practice Location Address:

817 PENN AVE N
MINNEAPOLIS, MN
55411-3627

Practice Phone: 612-990-2494
Practice Fax:

1952721706 — ANDREW NGUYEN
Practice Location Address:

720 WASHINGTON AVE SE
MINNEAPOLIS, MN
55414-2924

Practice Phone: 612-672-7422
Practice Fax:

1134083538 — MS. ADRIANA ROSA SANCHEZ GUTIERREZ
Practice Location Address:

1015 ESSEX ST SE APT 106
MINNEAPOLIS, MN
55414-3052

Practice Phone: 612-407-3551
Practice Fax:

1609106624 — MRS. ELIZABETH ANN-HOUSER HOUSER-YOUNG OTR/L
Practice Location Address:

2025 EAST RIVER PKWY
MINNEAPOLIS, MN
55414-3604

Practice Phone: 612-596-6163
Practice Fax:

1427055565 — MRS. NICHOLE LEIGH STEPHANE R.PH.
Practice Location Address:

711 KASOTA AVE SE
MINNEAPOLIS, MN
55414-2842

Practice Phone: 612-672-5585
Practice Fax: 612-672-5201

1932191889 — DIXIE LEE GRACE PH.D.
Practice Location Address:

1313 5TH ST SE
MINNEAPOLIS, MN
55414-4504

Practice Phone: 612-379-1205
Practice Fax: 612-379-3183

Directions to “ DR. CHARLES RICHARD JORGENSEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.