Healthcare Provider Details

I. General information

NPI: 1851230361
Provider Name (Legal Business Name): MR. CHARLES DANIEL ROMMEL III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1933 3RD ST NW
MINOT ND
58703-1368
US

IV. Provider business mailing address

1933 3RD ST NW
MINOT ND
58703-1368
US

V. Phone/Fax

Practice location:
  • Phone: 701-240-7850
  • Fax:
Mailing address:
  • Phone: 701-240-7850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: