NPI 1720614647 · live from the CMS NPI Registry
Alexander Ryan Haroldson, MD
Anesthesiology in Bemidji, MN. National Provider Identifier 1720614647, active.
NPI record
| NPI | 1720614647 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 1300 Anne St Nw, Bemidji, MN 56601 |
| Practice phone | 218-333-5000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | March 23, 2020 |
| Last updated | April 25, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 80303773 (WI) |
| Anesthesiology | 207L00000X | 83856 (WI) |
| Anesthesiology primary | 207L00000X | 78884 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.