Basic Information
Provider Information
NPI: 1649269291
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARONSON
FirstName: CHRISTOPHER
MiddleName: D.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 6TH AVE N
Address2:  
City: SAINT CLOUD
State: MN
PostalCode: 563032735
CountryCode: US
TelephoneNumber: 3202512700
FaxNumber: 3202402118
Practice Location
Address1: 1200 6TH AVE N
Address2:  
City: SAINT CLOUD
State: MN
PostalCode: 563032735
CountryCode: US
TelephoneNumber: 3202512700
FaxNumber: 3202402118
Other Information
ProviderEnumerationDate: 10/17/2005
LastUpdateDate: 10/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X44636MNN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X44636MNY Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
HP3972301 HEALTH PARTNERSOTHER
P0011981501 RR MEDICAREOTHER
163945301 ARAZ GROUPOTHER
32247080001 MEDICAL ASSISTANCEOTHER
773S3AR01 BLUE CROSS BLUE SHIELDOTHER
040650501 MEDICA HEALTH PLANSOTHER
14172101 U CAREOTHER
103390901 PREFERRED ONEOTHER
32247080005MN MEDICAID


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