Provider Demographics
NPI:1003007345
Name:HARLOW, MICHAEL CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHARLES
Last Name:HARLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:CHARLES
Other - Last Name:HARLOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JD
Mailing Address - Street 1:900 S 8TH ST STE 110
Mailing Address - Street 2:HENNEPIN COUNTY MEDICAL CENTER
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1292
Mailing Address - Country:US
Mailing Address - Phone:612-347-2218
Mailing Address - Fax:612-373-1859
Practice Address - Street 1:900 S 8TH ST STE 110
Practice Address - Street 2:HENNEPIN COUNTY MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1292
Practice Address - Country:US
Practice Address - Phone:612-347-2218
Practice Address - Fax:612-373-1859
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDRL04672084P0800X
MN495312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry