Individual
CHARLES PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13911 RIDGEDALE DR STE 255, MINNETONKA, MN 55305-1773
(952) 546-1225
Mailing address
13911 RIDGEDALE DR STE 255, MINNETONKA, MN 55305-1773
(952) 546-1225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38565
MN
Other
Enumeration date
07/28/2006
Last updated
09/21/2012
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