Individual
CHAD A HAROLDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE NO, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 SIXTH AVE NO, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
101566
MN
207RN0300X
Nephrology Physician
Primary
47418
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968137000
—
MN
Enumeration date
03/24/2006
Last updated
08/18/2008
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