Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | C1-0006806 | DE |
N | 207QS0010X | Family Doctor - Sports Medicine | 058438 | GA |
Y | 207QS0010X | Family Doctor - Sports Medicine | 66169 | MN |
NPI | 1184786162 |
---|---|
Provider Name | Dr. Chad Asplund |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 06/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD000 | (02) |