Individual
PETER L CHARVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1406 6TH AVE N, ST CLOUD HOSPITAL, ST CLOUD, MN 56303
(320) 255-5656
Mailing address
1406 6TH AVE N, ST CLOUD HOSPITAL, ST CLOUD, MN 56303
(320) 255-5656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39749
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876224400
—
MN
Enumeration date
02/17/2006
Last updated
07/12/2016
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