Basic Information
| Provider Information | |||||||||
| NPI: | 1003007345 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARLOW | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | CHARLES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HARLOW | ||||||||
| OtherFirstName: | MICHAEL | ||||||||
| OtherMiddleName: | CHARLES | ||||||||
| OtherNamePrefix: | MR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | J.D. | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 900 S 8TH ST STE 110 | ||||||||
| Address2: | HENNEPIN COUNTY MEDICAL CENTER | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554041292 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123472218 | ||||||||
| FaxNumber: | 6123731859 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 S 8TH ST STE 110 | ||||||||
| Address2: | HENNEPIN COUNTY MEDICAL CENTER | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554041292 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123472218 | ||||||||
| FaxNumber: | 6123731859 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2007 | ||||||||
| LastUpdateDate: | 11/08/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | RL0467 | SD | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | 49531 | MN | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.