DR. Mitchell Dean Harstad, OD

NPI #1396733143 in Saint Cloud, Minnesota

Provider Information

NPI Number
1396733143
Entity Type
Individual
Name
DR. Mitchell Dean Harstad, OD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Oct 6, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2055 15TH ST N
ZIP Code
56303-1747
Phone
(320) 251-1432

Specialties & Taxonomy Codes

Specialty
Optometrist

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