Provider Demographics
NPI:1841250321
Name:KAISER, HAROLD B (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:B
Last Name:KAISER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:825 NICOLLET MALL
Mailing Address - Street 2:SUITE 1149
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2606
Mailing Address - Country:US
Mailing Address - Phone:612-338-3333
Mailing Address - Fax:612-349-3838
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:SUITE 1149
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2606
Practice Address - Country:US
Practice Address - Phone:612-338-3333
Practice Address - Fax:612-349-3838
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2010-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN13869207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN774563000Medicaid
MN774563000Medicaid
MNA95735Medicare UPIN