Individual
DR. MITCHELL DEAN HARSTAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2055 15TH ST N, SAINT CLOUD, MN 56303-1747
(320) 251-1432
(320) 251-7122
Mailing address
2055 15TH ST N, SAINT CLOUD, MN 56303-1747
(320) 251-1432
(320) 251-7122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1982
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11967HA
BLUE CROSS
MN
01
—
2211983
MEDICA
MN
Enumeration date
10/06/2005
Last updated
07/08/2007
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