Individual
JASON S HARSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
3520 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 398-2400
Mailing address
270 GREEN HAVEN RD, DULUTH, MN 55810-9586
(218) 213-0094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2379593
MN
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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