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NPI Code Detail

MEDICARE: DR. MICHAEL CHARLES HARLOW MD

MEDICARE: DR. MICHAEL CHARLES HARLOW MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician49531MN

General Provider Information

NPI Number : 1003007345
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL CHARLES HARLOW MD
Provider Business Mailing Address
First Line : 701 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1623
Country : US
Telephone Number : 612-873-3000
Fax Number :
Provider Business Practice Location Address
First Line : 701 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1623
Country : US
Telephone Number : 612-873-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 02/04/2026

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Directions to “ DR. MICHAEL CHARLES HARLOW MD” Practice Location

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