Individual
DARIN DAVID WILLARDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118
Mailing address
1200 6TH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41771
MN
208M00000X
Hospitalist Physician
Primary
41771
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401366
MEDICA HEALTH PLANS
—
01
—
1022874
PREFERRED ONE
—
01
—
1085338
ARAZ GROUP/AMERICA'S PPO
—
01
—
127719
U-CARE
—
01
—
2116582
FIRST HEALTH PLAN
—
01
—
305475600
MEDICAL ASSISTANCE
—
05
—
305475600
—
MN
01
—
81D75WI
BLUE CROSS BLUE SHIELD
—
01
—
HP30227
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
12/21/2015
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