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NPI Code Detail

MEDICARE: MICHAEL TODD HOPFENSPIRGER MD

MEDICARE: MICHAEL TODD HOPFENSPIRGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician16751MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150409OTHERMNMD LICENSE

General Provider Information

NPI Number : 1174726541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL TODD HOPFENSPIRGER MD
Provider Business Mailing Address
First Line : 675 WATER ST
Second Line :
City : EXCELSIOR
State : MN
Zip : 55331-3072
Country : US
Telephone Number : 952-925-5626
Fax Number : 952-925-0223
Provider Business Practice Location Address
First Line : 675 WATER ST
Second Line :
City : EXCELSIOR
State : MN
Zip : 55331-3072
Country : US
Telephone Number : 952-925-5626
Fax Number : 952-925-0223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 08/11/2008

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