Individual
CHARLES DENNIS O'HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Mailing address
1887 WINSLOW CT, WEST SAINT PAUL, MN 55118-4441
(612) 819-5797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28564
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417782700
—
MN
Enumeration date
06/11/2006
Last updated
05/04/2026
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