Individual
CHARLES ORSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP, PHD
Contact information
Practice address
510 W QUINCE ST, DULUTH, MN 55811-3338
(218) 724-3472
Mailing address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 766-8364
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
718213900
—
MN
Enumeration date
09/25/2006
Last updated
04/03/2018
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