Harlan F Mittag


Address: 6311 Wayzata Blvd, Suite 220, St Louis Park, MN 55416-1245

Harlan F Mittag (NPI# 1679615389, PAC ID# 7113986274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1679615389
PAC ID by PECOS 7113986274
Professional Enrollment ID I20070328000503
Full Name Harlan F Mittag
Address 6311 Wayzata Blvd
Suite 220
St Louis Park
MN 55416-1245
Gender M
Credential DC
Medical School NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year 1986
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
6311 Wayzata Blvd, Suite 220, St Louis Park, MN 55416-1245

Organization Information

Office Location

Street Address 6311 WAYZATA BLVD
SUITE 220
City ST LOUIS PARK
State MN
Zip 55416-1245

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Competitor

Search similar physicians

City ST LOUIS PARK
Zip Code 55416
Specialty CHIROPRACTIC
City + Specialty ST LOUIS PARK + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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