Healthcare Provider Details

I. General information

NPI: 1346822160
Provider Name (Legal Business Name): CHRISTIAN MORFAW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 LABORE RD STE 104
VADNAIS HEIGHTS MN
55110-5186
US

IV. Provider business mailing address

3200 LABORE RD STE 104
VADNAIS HEIGHTS MN
55110-5186
US

V. Phone/Fax

Practice location:
  • Phone: 651-539-7200
  • Fax: 651-431-7576
Mailing address:
  • Phone: 651-539-7200
  • Fax: 651-431-7576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number73026
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number73026
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: